Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #101
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
3600 GASTON AVE STE 109, DALLAS, TX 75246-1801
(214) 820-3451
(214) 820-4088
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(214) 820-3451
(214) 820-4088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095103
PK
—
05
—
470147
—
TX
Enumeration date
02/27/2007
Last updated
04/24/2025
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