The Center Pharmacy At Legacy Oaks

LBN: Dallas County Mental Health & Mental Retardation Center
The Center Pharmacy At Legacy Oaks is an health care organization with primary practice located at 5372 Fredericksburg Rd Ste 110 , San Antonio TX 78229-3559. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Dallas County Mental Health & Mental Retardation Center can be contacted via phone (210) 971-5803, or through Edery, Mark via phone (214) 743-6180.

Contact Information

Primary practice address
5372 Fredericksburg Rd Ste 110 San Antonio TX 78229-3559
Phone: (210) 971-5803
Fax: (210) 714-7771
Website:
Map and Directions
Authorized official contact:
Name: Edery, Mark
Phone: (214) 743-6180

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 30327 Texas
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1861866568
LBN Legal business name Dallas County Mental Health & Mental Retardation Center
DBA Doing business as The Center Pharmacy At Legacy Oaks
Authorized official Edery, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2015
Last updated Mar 6th, 2017 - about 7 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861866568 NPPES
Texas MEDICAID 468501
Texas Other 2155306

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