Moody Outpatient Clinic Pharmacy
LBN: Dallas County Hospital District
Moody Outpatient Clinic Pharmacy is an health care organization with primary practice located at 5151 Maple Ave # 1-1676 , Dallas TX 75235-8136. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Dallas County Hospital District can be contacted via phone (142) 590-6323, or through Castaneda, Edmundo via phone (214) 590-8006.
Contact Information
Primary practice address
5151 Maple Ave # 1-1676
Dallas TX 75235-8136
Phone: (142) 590-6323
Fax: (142) 590-6160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | 14688 | Texas |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1801965991 |
|---|---|
| LBN Legal business name | Dallas County Hospital District |
| DBA Doing business as | Moody Outpatient Clinic Pharmacy |
| Authorized official | Castaneda, Edmundo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jun 3rd, 2024 - about 6 months ago |
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 | 1801965991 | NPPES |
| Texas | MEDICAID | 251052 | |
| Texas | Other | 2098699 |
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