Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #103
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
3410 WORTH ST, SUITE 240, DALLAS, TX 75246-2003
(214) 820-8400
(214) 820-8435
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(214) 820-8400
(214) 820-8435
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2129708
PK
—
05
—
469763
—
TX
Enumeration date
02/17/2011
Last updated
04/24/2025
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