Organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Active
Parent organization
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Other names
UT Southwestern Campus Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Authorized official
MARK ALAN MEYER (CFO)
(214) 633-4804
Entity
Organization
Contact information
Practice address
5303 HARRY HINES BLVD, SUITE 100 JAMES ASTON AMBULATORY CARE CENTER, DALLAS, TX 75390-8862
(214) 648-2422
(214) 648-2652
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9922
(469) 525-5908
(214) 648-2652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149455
VENDOR DRUG PROGRAM
TX
01
—
23929
TSBP
TX
01
—
4589341
NCPDP
TX
01
—
B0138718
DPS
TX
Enumeration date
07/25/2019
Last updated
03/07/2023
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