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Contact Information

CORPORATE HEALTH DIMENSIONS DBA GOODYEAR PHARMACY TYLER
13221 FM 206 HWY 31 W
TYLER, TX75709
 Phone: 903-592-3487
 Fax: 903-593-8737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CORPORATE HEALTH DIMENSIONS DBA GOODYEAR PHARMACY TYLER

NPI Number 1477606325
LBN Legal business name CORPORATE HEALTH DIMENSIONS DBA GOODYEAR PHARMACY TYLER
Authorized official DELANA STATEN - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # 15096
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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