Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #253
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
1001 HEWITT DR, SUITE B, WACO, TX 76712-8486
(254) 202-3730
(254) 202-3759
Mailing address
PO BOX 845765, DALLAS, TX 75284-5765
(254) 202-3730
(254) 202-3759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164202
PK
—
05
—
471196
—
TX
Enumeration date
09/16/2016
Last updated
04/24/2025
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