Organization
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Active
Other names
Metrocare Pharmacy at Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECHAI EDERY (DIRECTOR OF PHARMACY)
(214) 743-6180
Entity
Organization
Contact information
Practice address
4200 STUART ST, ATTN: PHARMACY DEPT., GREENVILLE, TX 75401-5759
(972) 331-6330
(214) 743-1209
Mailing address
4200 STUART ST, ATTN: PHARMACY DEPT., GREENVILLE, TX 75401
(972) 331-6330
(214) 743-1209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
29904
TX
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151158
PK
—
Enumeration date
04/03/2015
Last updated
09/19/2025
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