Dallas Express Pharmacy

LBN: Dallas Express Pharmacy Inc
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 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. Dallas Express Pharmacy Inc 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 / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 09048 North Carolina

Profile Details

NPI number 1740340702
LBN Legal business name Dallas Express Pharmacy Inc
DBA Doing business as Dallas Express Pharmacy
Authorized official Wallace, Jacob Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
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 1740340702 NPPES
Other 2068289 PK
MEDICAID 0366203 PK

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