Dallas Express Pharmacy

LBN: Dallas Express Pharmacy
Dallas Express Pharmacy is an health care organization with primary practice located at 111A N Hoffman St , Dallas NC 28034-1597. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dallas Express Pharmacy can be contacted via phone (704) 922-3001, or through Wallace, Jacob Tyler via phone (704) 922-3001.

Contact Information

Primary practice address
111A N Hoffman St Dallas NC 28034-1597
Phone: (704) 922-3001
Fax: (704) 922-0060
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Jacob Tyler
Phone: (704) 922-3001

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 09048 North Carolina

Profile Details

NPI number 1003172792
LBN Legal business name Dallas Express Pharmacy
DBA Doing business as
Authorized official Wallace, Jacob Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2012
Last updated Sep 21st, 2021 - about 3 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 1003172792 NPPES
North Carolina MEDICAID 0366203
North Carolina Other 3403451

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