Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #105
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
5236 W UNIVERSITY DR STE 1900, MCKINNEY, TX 75071-8111
(469) 764-7100
(469) 764-7110
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(469) 764-7100
(469) 764-7110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136044
PK
—
05
—
470383
—
TX
Enumeration date
07/16/2012
Last updated
04/24/2025
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