Organization
SOCIETY OF ST. VINCENT DE PAUL CHARITABLE PHARMACY OF NORTH TEXAS, INC
Active
Other names
St. Vincent de Paul Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE HENRY HERMANN (PHARMACY MANAGING DIRECTOR)
(214) 868-8944
Entity
Organization
Contact information
Practice address
5750 PINELAND DR, DALLAS, TX 75231-5300
(469) 232-9902
(469) 533-0350
Mailing address
4310 GLENWICK LN, DALLAS, TX 75205-1035
(214) 868-8944
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31881
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
03/02/2018
Last updated
03/17/2018
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