Organization
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Active
Other names
The Center Pharmacy at Legacy Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDERY (DIRECTOR OF PHARMACY)
(214) 743-6180
Entity
Organization
Contact information
Practice address
5372 FREDERICKSBURG RD STE 110, SAN ANTONIO, TX 78229-3559
(210) 971-5803
(210) 714-7771
Mailing address
5372 FREDERICKSBURG RD STE 110, SAN ANTONIO, TX 78229-3559
(210) 971-5803
(210) 714-7771
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
30327
TX
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155306
PK
—
05
—
468501
—
TX
Enumeration date
11/18/2015
Last updated
03/06/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us