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Organization
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Active
Organization
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Active
Other names
Metrocare Pharmacy at Lifenet
Organization subpart
No
Provider details
NPI number
Authorized official
MIN SEO CHEON KIM (CHIEF PHARMACY OFFICER)
(214) 743-6180
Entity
Organization
Contact information
Practice address
9708 SKILLMAN ST, DALLAS, TX 75243-5150
(469) 899-3200
(972) 426-8304
Mailing address
3242 REMOND DR, DALLAS, TX 75211
(214) 743-6180
(469) 200-1956
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
29932
TX
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151414
PK
—
Enumeration date
04/20/2015
Last updated
12/02/2025
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