Organization
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Active
Other names
LIFEPATH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIN SEO CHEON KIM (CHIEF PHARMACY OFFICER)
(214) 743-6180
Entity
Organization
Contact information
Practice address
1009 N GEORGETOWN ST STE 107, ROUND ROCK, TX 78664-3289
(512) 501-1528
(512) 862-9006
Mailing address
3242 REMOND DR, PLANO, TX 75211
(214) 743-6180
(469) 200-1956
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
25766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100480
PK
—
Enumeration date
11/07/2007
Last updated
12/02/2025
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