Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #107
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST, SUITE 110, GRAPEVINE, TX 76051-3580
(817) 388-3090
(817) 388-3091
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(214) 820-9268
(214) 818-8886
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140933
PK
—
05
—
469873
—
TX
Enumeration date
06/25/2013
Last updated
04/24/2025
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