Baylor Scott & White Pharmacy #107
LBN: Baylor Scott & White Health Enterprises, Inc.
Baylor Scott & White Pharmacy #107 is an health care organization with primary practice located at 1600 W College St Suite 110, Grapevine TX 76051-3580. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Baylor Scott & White Health Enterprises, Inc. can be contacted via phone (817) 388-3090, or through Cohen, Tammy via phone (214) 865-3669.
Contact Information
Primary practice address
1600 W College St Suite 110
Grapevine TX 76051-3580
Phone: (817) 388-3090
Fax: (817) 388-3091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28618 | Texas |
Profile Details
| NPI number | 1487094389 |
|---|---|
| LBN Legal business name | Baylor Scott & White Health Enterprises, Inc. |
| DBA Doing business as | Baylor Scott & White Pharmacy #107 |
| Authorized official | Cohen, Tammy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2013 |
| Last updated | Sep 13th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487094389 | NPPES |
| Other | 2140933 | PK | |
| MEDICAID | 469873 | PK |
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