Organization
CHILDREN'S HEALTH SYSTEM OF TEXAS
Active
Organization
CHILDREN'S HEALTH SYSTEM OF TEXAS
Active
Other names
First Pharmacy Children's Medical Center of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S FRIES (CHIEF FINANCIAL OFFICER)
(214) 456-7000
Entity
Organization
Contact information
Practice address
1935 MEDICAL DISTRICT DR STE E1000, DALLAS, TX 75235-7701
(214) 456-2879
(214) 456-2698
Mailing address
1935 MEDICAL DISTRICT DR # E1000, DALLAS, TX 75235-7701
(214) 456-2879
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19569
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144998
TEXAS VENDOR DRUG PROGRAM
TX
01
—
19569
TEXAS ST BD OF PHARMACY
TX
01
—
4514940
NABP
TX
Enumeration date
10/20/2006
Last updated
05/24/2024
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