Organization
OAK CLIFF PHARMACY LLC
Active
Other names
OAK CLIFF PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BARRETT (OWNER MANAGER)
(214) 371-2815
Entity
Organization
Contact information
Practice address
3436 S POLK ST, DALLAS, TX 75224-3804
(214) 371-2815
(214) 371-0606
Mailing address
3436 S POLK ST, DALLAS, TX 75224-3804
(214) 371-2815
(214) 371-0606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145733
—
TX
01
—
2099681
PK
—
05
—
29259
—
TX
Enumeration date
11/17/2006
Last updated
04/05/2017
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