National Provider Identifier Database

MARTIN LUTHER KING JR FAMILY CLINIC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MARTIN LUTHER KING JR FAMILY CLINIC
2922 MARTIN LUTHER KING JR BLVD
B
DALLAS, TX75215-2321
Phone: 214-426-3645
Fax: 214-426-6813
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MARTIN LUTHER KING JR FAMILY CLINIC

NPI Number 1134366289
Legal business name
LBN
MARTIN LUTHER KING JR FAMILY CLINIC
Authorized official JOYCE TAPLEY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/12/2009
Last updated 07/02/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 11893
  • TX Medicaid: 130713404
  • Other: 4576229 NCPDP PROVIDER ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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