Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #254
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
50 HILLCREST MEDICAL BLVD, SUITE 200-1, WACO, TX 76712-8952
(254) 202-3760
(254) 202-3789
Mailing address
PO BOX 847670, DALLAS, TX 75284-5765
(254) 202-3760
(254) 202-3789
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
471203
—
TX
Enumeration date
04/13/2017
Last updated
04/24/2025
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