Organization
GUARDIAN HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK R MUNN RPH (OWNER/PRESIDENT)
(214) 221-8181
Entity
Organization
Contact information
Practice address
2508 OAK LAWN AVE, DALLAS, TX 75219
(214) 221-8181
(214) 221-8282
Mailing address
2508 OAK LAWN AVE, DALLAS, TX 75219
(214) 221-8181
(214) 221-8282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4509014
TX
333600000X
Pharmacy
4509014
TX
3336H0001X
Home Infusion Therapy Pharmacy
Primary
4509014
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750176
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/11/2006
Last updated
09/11/2025
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