Organization
PRIDE PHARMACY - CARLISLE LLC
Active
Other names
Oak Lawn Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HAYEK (PRESIDENT)
(202) 255-2012
Entity
Organization
Contact information
Practice address
4003 LEMMON AVE, DALLAS, TX 75219-3737
(214) 954-7389
(855) 716-7525
Mailing address
4003 LEMMON AVE, DALLAS, TX 75219-3737
(214) 954-7389
(855) 716-7525
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146126
—
TX
01
—
2124376
PK
—
Enumeration date
02/26/2010
Last updated
09/06/2023
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