Organization
GROVE MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DE LANGE (PHARMACIST)
(214) 391-2414
Entity
Organization
Contact information
Practice address
1143 S BUCKNER BLVD, DALLAS, TX 75217-4304
(214) 391-2414
(214) 391-0832
Mailing address
1143 S BUCKNER BLVD, DALLAS, TX 75217-4304
(214) 391-2414
(214) 391-0832
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143571
—
TX
Enumeration date
12/15/2006
Last updated
03/10/2020
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