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Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
DALLAS COUNTY HOSPITAL DISTRICT, Moody Outpatient Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO CASTANEDA (EVP & COO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5151 MAPLE AVE # 1-1676, DALLAS, TX 75235-8136
(142) 590-6323
(142) 590-6160
Mailing address
5200 HARRY HINES BLVD, PHARMACY ADMINISTRATION, DALLAS, TX 75235-7709
(214) 590-8714
(469) 419-3023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0002X
Clinic Pharmacy
Primary
14688
TX
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14688
LICENSE
TX
01
—
2098699
PK
—
05
—
251052
—
TX
Enumeration date
11/06/2006
Last updated
01/28/2026
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