| Organization Name: | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER |
| NPI Number: | 1023410024 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MORDECHAI EDERY (DIRECTOR OF PHARMACY) |
| Mailing Address: | 16160 Midway Rd, Ste200 Attn: Pharmacy Addison |
| State: | TX US |
| Postal Code: | 75001 |
| Phone Number: | 9723316370 |
| Fax Number: | 2143302491 |
| NPI Enumeration Date: | 09/22/2014 |
| NPI Last Update Date: | 11/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | 29518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |