Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #110
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
2460 N INTERSTATE HIGHWAY 35 E, SUITE 155, WAXAHACHIE, TX 75165-5266
(469) 843-7120
(469) 843-7121
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(469) 843-7120
(469) 843-7121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150907
PK
—
05
—
469766
—
TX
Enumeration date
03/26/2015
Last updated
04/24/2025
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