Organization
GUARDIAN HEALTH SYSTEMS VERNON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN TOBEY R.PH. (DIRECTOR)
(405) 848-0338
Entity
Organization
Contact information
Practice address
1720 HILLCREST DR, VERNON, TX 76384-4099
(405) 848-0338
(405) 848-0351
Mailing address
2508 OAKLAWN AVENUE, DALLAS, TX 75219
(405) 848-0338
(405) 848-0351
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
16832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750696
BCBS TX
TX
Enumeration date
11/09/2006
Last updated
08/22/2020
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