# DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFEPATH PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932389038
- **Authorized official:** MIN SEO CHEON KIM (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (214) 743-6180

## Contact information

- **Practice address:** 1009 N GEORGETOWN ST STE 107, ROUND ROCK, TX 78664-3289
- **Practice address phone:** (512) 501-1528
- **Practice address fax:** (512) 862-9006
- **Mailing address:** 3242 REMOND DR, PLANO, TX 75211
- **Mailing address phone:** (214) 743-6180
- **Mailing address fax:** (469) 200-1956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 25766 | TX | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 12/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2100480 | PK | — |