Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #202
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
4945 WILLIAMS DR, GEORGETOWN, TX 78633-2008
(512) 942-3302
(512) 942-3304
Mailing address
PO BOX 847670, DALLAS, TX 75284-5765
(512) 942-3302
(512) 942-3304
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151712
PK
—
05
—
469765
—
TX
Enumeration date
11/30/2006
Last updated
04/24/2025
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