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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