Organization
DALLAS EXPRESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB TYLER WALLACE JR. (PRESIDENT)
(704) 922-3001
Entity
Organization
Contact information
Practice address
111A N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 922-3001
(704) 922-0060
Mailing address
111A N HOFFMAN ST, DALLAS, NC 28034-1597
(704) 922-3001
(704) 922-0060
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
09048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366203
—
NC
01
—
3403451
NCPDP
NC
Enumeration date
04/06/2012
Last updated
09/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us