Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #108
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
1901 N MACARTHUR BLVD, SUITE 1001, IRVING, TX 75061-2220
(972) 579-4074
(972) 579-3987
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(972) 579-4074
(972) 579-3987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140932
PK
—
05
—
470148
—
TX
Enumeration date
08/21/2013
Last updated
04/24/2025
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