Provider Demographics
NPI:1558632489
Name:DALLAS COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:DALLAS COUNTY HOSPITAL DISTRICT
Other - Org Name:PARKLAND CENTRAL FILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP & COO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-590-4085
Mailing Address - Street 1:5201 HARRY HINES BLVD
Mailing Address - Street 2:PHARMACY ADMINISTRATION
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7708
Mailing Address - Country:US
Mailing Address - Phone:214-590-8278
Mailing Address - Fax:214-590-1366
Practice Address - Street 1:2121 BUTLER ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7801
Practice Address - Country:US
Practice Address - Phone:214-590-2881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27714333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27714OtherTEXAS STATE BOARD OF PHARMACY LICENSE
5904772OtherNCPDP