Provider Demographics
NPI:1508354598
Name:SILVERLINE PARTNERS OF TEXAS LLC
Entity Type:Organization
Organization Name:SILVERLINE PARTNERS OF TEXAS LLC
Other - Org Name:LOOP 12 PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TONI
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:146-954-7222
Mailing Address - Street 1:3232 GREAT TRINITY FOREST WAY STE 102A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7732
Mailing Address - Country:US
Mailing Address - Phone:469-547-2222
Mailing Address - Fax:469-547-2220
Practice Address - Street 1:3232 GREAT TRINITY FOREST WAY STE 103
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7732
Practice Address - Country:US
Practice Address - Phone:469-547-2222
Practice Address - Fax:469-547-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy