Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
DALLAS COUNTY HOSPITAL DISTRICT, Moody Outpatient Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO CASTANEDA (EVP & COO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
5151 MAPLE AVE # 1-1676, DALLAS, TX 75235-8136
(142) 590-6323
(142) 590-6160
Mailing address
5200 HARRY HINES BLVD, PHARMACY ADMINISTRATION, DALLAS, TX 75235-7709
(214) 590-8714
(469) 419-3023
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
Primary
14688
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14688
LICENSE
TX
01
—
2098699
PK
—
05
—
251052
—
TX
Enumeration date
11/06/2006
Last updated
01/28/2026
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