University of Texas Southwestern Medical Center at Dallas
University of Texas Southwestern Medical Center at Dallas is a Pharmacy in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
400 W Magnolia Ave Ste 2500Fort Worth, TX 76104-7617
Phone: (817) 288-9756
Fax: (817) 288-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 29894 (TX) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1992169395 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | University of Texas Southwestern Medical |
| Authorized official | Jeff Liticker — Pharmacy Manager · (214) 645-2681 |
| Other names | Moncrief Cancer Institute Retail Pharmacy |
| NPI enumerated | April 12, 2016 |
| Last updated in NPPES | July 18, 2017 |
| Mailing address | 400 W Magnolia Ave, Ste 2500, Fort Worth, TX 76104-7617 |
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