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 only one registered license in Suppliers / Pharmacy, which is considered as 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:
Map and Directions
Authorized official contact:
Name: Castaneda, Edmundo
Phone: (214) 590-8006

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4633300002 Texas

Profile Details

NPI number 1982698569
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 Sep 9th, 2005
Last updated Jun 3rd, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982698569 NPPES
Texas Other 4539067 NCPDP

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