Pharmacy Providers In Dallas, Texas
Search and browse NPI records of pharmacy registered healthcare providers with a business address in Dallas, TX. The total number of NPI records is 434, of which 431 are registered as organizations and 3 as individuals. A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1% Individual Providers (3)99% Medical Organizations (431)0% Female Providers (0)1% Male Providers ()
| NPI | Name | Type | Specialty | Address | Medicare | PECOS |
|---|---|---|---|---|---|---|
| 1013080332 | KROGER TEXAS L P KROGER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 752 WYNNEWOOD VILLAGE DALLAS, TX 75224 (214) 942-3191 | Non-Participating Provider | NO |
| 1013081546 | OVERFLOW PLUS LLC BROOKHAVEN APOTHECARY & SURGICAL SHOP | Organization | Pharmacy (Community/Retail Pharmacy) | 4373 S HAMPTON RD STE 1 DALLAS, TX 75232 (972) 620-2121 | Non-Participating Provider | NO |
| 1013334903 | DOWNING LABS LLC DOWNING LABS | Organization | Pharmacy (Community/Retail Pharmacy) | 4001 MCEWEN RD STE 110 DALLAS, TX 75244 (214) 347-4008 | Non-Participating Provider | NO |
| 1013345156 | FAMILIA CARE MD KIDS PEDIATRICS PHARMACY | Organization | Pharmacy (Clinic Pharmacy) | 3201 W SANER AVE DALLAS, TX 75233 (214) 331-0567 | Non-Participating Provider | NO |
| 1013492735 | 1ST AMERICA INFUSION SERVICES LLC ADVANCED INFUSIONCARE | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 18451 DALLAS PKWY STE 130 DALLAS, TX 75287 (601) 988-1700 | Non-Participating Provider | NO |
| 1013934140 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-2996 | Organization | Pharmacy (Community/Retail Pharmacy) | 18121 MARSH LN DALLAS, TX 75287 (972) 862-6360 | Non-Participating Provider | NO |
| 1023023009 | WALGREEN CO WALGREENS #05710 | Organization | Pharmacy | 18410 PRESTON RD DALLAS, TX 75252 (972) 599-1004 | Non-Participating Provider | NO |
| 1023023017 | WALGREEN CO WALGREENS #06197 | Organization | Pharmacy | 2401 W LEDBETTER DR DALLAS, TX 75233 (214) 337-2126 | Non-Participating Provider | NO |
| 1023035144 | SAMS EAST INC SAMS PHARMACY 10-6372 | Organization | Pharmacy (Community/Retail Pharmacy) | 6185 RETAIL RD DALLAS, TX 75231 (214) 382-2525 | Non-Participating Provider | NO |
| 1023237336 | ABRAMS ROYAL PHARMACY ABRAMS ROYAL PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8220 ABRAMS RD DALLAS, TX 75231 (214) 349-8000 | Non-Participating Provider | NO |
| 1023336625 | CVS PHARMACY, INC. CVS PHARMACY # 07149 | Organization | Pharmacy | 2899 FOREST LANE DALLAS, TX 75234 (972) 241-0175 | Non-Participating Provider | NO |
| 1023691771 | LCS-MW LLC | Organization | Pharmacy | 5114 MCKINNEY AVE DALLAS, TX 75205 (214) 528-0660 | Non-Participating Provider | NO |
| 1033155494 | MEDI STAT RX LLC MEDI STAT RX | Organization | Pharmacy (Community/Retail Pharmacy) | 500 W JEFFERSON BLVD STE A DALLAS, TX 75208 (214) 946-3822 | Non-Participating Provider | NO |
| 1033201702 | GILLEY'S PHARMACY, INC | Organization | Pharmacy | 2600 W JEFFERSON 227 DALLAS, TX 75211 (214) 946-5111 | Non-Participating Provider | NO |
| 1033364450 | WALGREEN CO WALGREENS #11645 | Organization | Pharmacy | 10152 LAKE JUNE RD DALLAS, TX 75217 (469) 341-3900 | Non-Participating Provider | NO |
| 1033482641 | IPSC MANAGEMENT LLC ATLANTIS PHARMACY #1 | Organization | Pharmacy (Community/Retail Pharmacy) | 610 E JEFFERSON BLVD # 110B DALLAS, TX 75203 (972) 231-4888 | Non-Participating Provider | NO |
| 1033493143 | WALGREEN CO COMMUNITY, A WALGREENS PHARMACY #21319 | Organization | Pharmacy | 2515 INWOOD RD STE 113 DALLAS, TX 75235 (214) 630-6252 | Non-Participating Provider | NO |
| 1043225014 | WALGREEN CO WALGREENS #04203 | Organization | Pharmacy | 438 W ILLINOIS AVE DALLAS, TX 75224 (214) 941-1197 | Non-Participating Provider | NO |
| 1043225097 | WALGREEN CO WALGREENS #04747 | Organization | Pharmacy | 3211 S LANCASTER RD DALLAS, TX 75216 (214) 371-1891 | Non-Participating Provider | NO |
| 1043315229 | TELESIS-WALNUT PLACE NURSING HOME I LTD WALNUT PLACE PHARMACY | Organization | Pharmacy (Long Term Care Pharmacy) | 5515 GLEN LAKES DR DALLAS, TX 75231 (214) 361-8923 | Non-Participating Provider | NO |
| 1043627938 | MAHA KALI NAGA BALAJI LLC FORNEY PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 13601 PRESTON RD STE 720E DALLAS, TX 75240 (972) 552-2666 | Non-Participating Provider | NO |
| 1043664865 | RPR HEALTHCARE INC REDBIRD PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 1251 E RED BIRD LN STE 120 DALLAS, TX 75241 (972) 982-2970 | Non-Participating Provider | NO |
| 1043834039 | EHP TEXAS LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 219 SUNSET AVE STE 116A DALLAS, TX 75208 (469) 749-7822 | Non-Participating Provider | NO |
| 1053655837 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-5889 | Organization | Pharmacy (Community/Retail Pharmacy) | 9410 WEBB CHAPEL RD DALLAS, TX 75220 (972) 629-0029 | Non-Participating Provider | NO |
| 1063681013 | POIROT PHARMACY SERVICES | Organization | Pharmacy | 4537 WESTWAY AVE DALLAS, TX 75205 (214) 252-1984 | Non-Participating Provider | NO |
| 1063711364 | CONSUMER SAVING ADVANTAGE PHARMACY INC CSA PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 10235 LAKE JUNE RD STE 400 DALLAS, TX 75217 (214) 628-7206 | Non-Participating Provider | NO |
| 1073087375 | MEDICAL CITY PHARMACY LLC MEDICAL RX PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3502 SIMPSON STUART RD STE 300 DALLAS, TX 75241 (972) 943-1485 | Non-Participating Provider | NO |
| 1083629174 | WALGREEN CO WALGREENS #09647 | Organization | Pharmacy | 5201 BELT LINE RD DALLAS, TX 75254 (972) 385-6254 | Non-Participating Provider | NO |
| 1083637987 | DOUGHERTYS PHARMACY INC DOUGHERTYS HOME CARE PHCY | Organization | Pharmacy | 515 PRESTON ROYAL VILLAGE DALLAS, TX 75230 (214) 363-4310 | Non-Participating Provider | NO |
| 1083643043 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3608 | Organization | Pharmacy (Community/Retail Pharmacy) | 7700 W NORTHWEST HWY DALLAS, TX 75225 (214) 346-1030 | Non-Participating Provider | NO |
| 1083718886 | CVS PHARMACY INC CVS PHARMACY #07664 | Organization | Pharmacy | 1235 S BUCKNER BLVD DALLAS, TX 75217 (214) 391-2151 | Non-Participating Provider | NO |
| 1083905053 | R2J INVESTMENTS LLC SAFEMED PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 6300 SAMUAL BLVD STE #118 DALLAS, TX 75228 (972) 412-7373 | Non-Participating Provider | NO |
| 1093053126 | GUARDIAN HEALTH SYSTEMS AURORA | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 7920 ELMBROOK DRIVE SUITE 108 SUITE 108 DALLAS, TX 75247 (214) 221-8181 | Non-Participating Provider | NO |
| 1093313199 | NEUROLOGY CONSULTANTS OF DALLAS, P.A. | Organization | Pharmacy (Community/Retail Pharmacy) | 8390 LYNDON B JOHNSON FWY STE 1000 DALLAS, TX 75243 (469) 498-1710 | Non-Participating Provider | NO |
| 1093370538 | AMERICAN STAR PHARMACY INC ABOUNDING PROSPERITY COMMUNITY PHARMACY | Organization | Pharmacy | 1619 MARTIN LUTHER KING JR BLVD SUITE B DALLAS, TX 75215 (469) 718-7777 | Non-Participating Provider | NO |
| 1093732265 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-2105 | Organization | Pharmacy (Community/Retail Pharmacy) | 4122 LBJ FWY DALLAS, TX 75244 (972) 239-4297 | Non-Participating Provider | NO |
| 1093812497 | CVS PHARMACY INC CVS PHARMACY #06966 | Organization | Pharmacy | 6004 SAMUELL BLVD DALLAS, TX 75228 (214) 388-0411 | Non-Participating Provider | NO |
| 1093817439 | DOUGHERTY'S PHARMACY INC. DBA DOUGHERTY'S HOME CARE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 515 PRESTON ROYAL VILLAGE DALLAS, TX 75230 (214) 363-6558 | Non-Participating Provider | NO |
| 1093897589 | JMA PARTNERS MELROSE PHARMACY | Organization | Pharmacy (Compounding Pharmacy) | 7920 ELMBROOK DRIVE SUITE 108 DALLAS, TX 75247 (214) 221-8181 | Non-Participating Provider | NO |
| 1104020494 | NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA NTIGA INFUSION | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 3650 W WHEATLAND RD STE C DALLAS, TX 75237 (972) 283-5998 | Non-Participating Provider | NO |
| 1104233030 | PHARMACY PREFERRED PHYSICIANS, LLC | Organization | Pharmacy (Specialty Pharmacy) | 17300 DALLAS PKWY SUITE 1080A DALLAS, TX 75248 (214) 335-7010 | Non-Participating Provider | NO |
| 1104279819 | HAMPTON APOTHECARY LP RENUE RX #2 | Organization | Pharmacy (Community/Retail Pharmacy) | 2701 S HAMPTON RD STE 100 DALLAS, TX 75224 (972) 707-8248 | Non-Participating Provider | NO |
| 1104377332 | FIESTA LIFECARE PHARMACY 5 LLC FIESTA LIFECARE PHARMACY 5 LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 3230 MARTIN LUTHER KING JR BLVD DALLAS, TX 75210 (214) 421-1067 | Non-Participating Provider | NO |
| 1104904176 | MINYARD FOOD STORES INC. CARNIVAL PHARMACY #131 | Organization | Pharmacy (Community/Retail Pharmacy) | 2121 S BUCKNER BLVD DALLAS, TX 75227 (214) 381-1159 | Non-Participating Provider | NO |
| 1104910413 | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER WESTMORELAND ADULT OC DCMHMR | Organization | Pharmacy (Clinic Pharmacy) | 1350 N WESTMORELAND RD DALLAS, TX 75211 (214) 330-0036 | Non-Participating Provider | NO |
| 1104944289 | PHARMACY COMPOUNDING SPECIALTIES | Organization | Pharmacy (Compounding Pharmacy) | 8061 WALNUT HILL LN SUITE 924 DALLAS, TX 75231 (214) 327-8200 | Non-Participating Provider | NO |
| 1114021912 | CVS PHARMACY INC CVS PHARMACY # 07412 | Organization | Pharmacy | 5370 W LOVERS LN STE 310 DALLAS, TX 75209 (214) 358-0263 | Non-Participating Provider | NO |
| 1114027414 | HIGHLANDER PHARMACY LLC CYPRESS POINT RX | Organization | Pharmacy (Community/Retail Pharmacy) | 2225 VATICAN LN DALLAS, TX 75224 (817) 375-2036 | Non-Participating Provider | NO |
| 1114266889 | AMERICAN CUSTOM COMPOUNDING PHARMACY | Organization | Pharmacy (Compounding Pharmacy) | 2607 WALNUT HILL LN SUITE 220 DALLAS, TX 75229 (214) 366-0022 | Non-Participating Provider | NO |
| 1114944246 | SAMS EAST INC SAMS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2900 W WHEATLAND RD DALLAS, TX 75237 (972) 283-1059 | Non-Participating Provider | NO |
| 1114944345 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-3406 | Organization | Pharmacy (Community/Retail Pharmacy) | 15220 MONTFORT RD DALLAS, TX 75248 (972) 233-8764 | Non-Participating Provider | NO |
| 1124012315 | DOUGHERTYS PHARMACY INC DOUGHERTY'S PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 12835 PRESTON RD STE 202 DALLAS, TX 75230 (214) 373-5300 | Non-Participating Provider | NO |
| 1124033188 | WALGREEN CO WALGREENS #21222 | Organization | Pharmacy | 6520 E NORTHWEST HWY DALLAS, TX 75231 (214) 341-0861 | Non-Participating Provider | NO |
| 1124063342 | BUCKNER NEIGHBORHOOD PHARMACY INC BUCKNER NEIGHBORHOOD PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3535 N BUCKNER BLVD STE 106 DALLAS, TX 75228 (214) 321-3000 | Non-Participating Provider | NO |
| 1124065677 | ALBERTSONS LLC SUPER SAVER SAVON PHARMACY | Organization | Pharmacy | 10020 MARSH LN DALLAS, TX 75229 (214) 350-5778 | Non-Participating Provider | NO |
| 1124122924 | CVS PHARMACY INC CVS PHARMACY #07430 | Organization | Pharmacy | 8555 FERGUSON RD DALLAS, TX 75228 (214) 320-0892 | Non-Participating Provider | NO |
| 1124393137 | AJIJO VENTURES DBA HEALTHPRO PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 800 N BISHOP AVE STE 4 DALLAS, TX 75208 (214) 942-4000 | Non-Participating Provider | NO |
| 1124430202 | POPHARMACY LLC | Organization | Pharmacy (Compounding Pharmacy) | 17300 DALLAS PKWY SUITE 1080A DALLAS, TX 75248 (972) 822-6292 | Non-Participating Provider | NO |
| 1124551536 | CVS PHARMACY INC CVS PHARMACY #10909 | Organization | Pharmacy | 6474 E. NORTHWEST HWY DALLAS, TX 75214 (469) 232-4590 | Non-Participating Provider | NO |
| 1124568969 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS UT SOUTHWESTERN SPECIALTY PHARMACY | Organization | Pharmacy (Specialty Pharmacy) | 2929 N STEMMONS FWY # XA1.2 DALLAS, TX 75247 (214) 645-6828 | Non-Participating Provider | NO |
| 1134110646 | C AND I INTERNATIONAL INC PRESTON VILLAGE PHARMACY | Organization | Pharmacy | 12606 GREENVILLE AVE # 175 NORTHPOINT MEDICAL ARTS BLDG DALLAS, TX 75243 (972) 866-0017 | Non-Participating Provider | NO |
| 1134366289 | MARTIN LUTHER KING JR FAMILY CLINIC | Organization | Pharmacy (Clinic Pharmacy) | 2922 MARTIN LUTHER KING JR BLVD B DALLAS, TX 75215 (214) 426-3645 | Non-Participating Provider | NO |
| 1134696024 | EHP TEXAS LLC PRISM HEALTH NORTH TEXAS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4907 SPRING AVE STE 101 DALLAS, TX 75210 (614) 572-0890 | Non-Participating Provider | NO |
| 1144527706 | BAYLOR HEALTH ENTERPRISES LP BAYLOR SCOTT & WHITE PHARMACY #103 | Organization | Pharmacy (Community/Retail Pharmacy) | 3410 WORTH ST SUITE 240 DALLAS, TX 75246 (214) 820-8400 | Non-Participating Provider | NO |
| 1144545666 | CODYKE INTERNATIONAL CORPORATION GLOBE PHARMACY | Organization | Pharmacy | 2223 SINGLETON BLVD DALLAS, TX 75212 (972) 290-0862 | Non-Participating Provider | NO |
| 1144874967 | CAPSULE DALLAS LLC CAPSULE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2909 MCKINNEY AVE STE A DALLAS, TX 75204 (214) 214-6002 | Non-Participating Provider | NO |
| 1154425965 | CVS PHARMACY INC CVS PHARMACY #07740 | Organization | Pharmacy | 10455 N CENTRAL EXPY DALLAS, TX 75231 (214) 369-3872 | Non-Participating Provider | NO |
| 1154428654 | CVS PHARMACY INC CVS PHARMACY # 06779 | Organization | Pharmacy | 3012 MOCKINGBIRD LN DALLAS, TX 75205 (214) 363-5525 | Non-Participating Provider | NO |
| 1154604130 | WALGREEN CO WALGREENS #13930 | Organization | Pharmacy | 11700 PRESTON RD STE 703 DALLAS, TX 75230 (214) 750-4502 | Non-Participating Provider | NO |
| 1154645497 | RNA HOLDINGS LLC FIVE STAR PHARMACY SERVICES, LLC | Organization | Pharmacy (Institutional Pharmacy) | 14800 LANDMARK BLVD STE 250 DALLAS, TX 75254 (214) 237-4510 | Non-Participating Provider | NO |
| 1154759926 | HIW PHARMACY LLC | Organization | Pharmacy | 13111 N CENTRAL EXPY SUITE 1000 DALLAS, TX 75243 (469) 250-1600 | Non-Participating Provider | NO |
| 1164437240 | WALGREEN CO WALGREENS #09015 | Organization | Pharmacy | 4702 N JIM MILLER RD DALLAS, TX 75227 (214) 388-4951 | Non-Participating Provider | NO |
| 1164957700 | UROLOGY CLINICS OF NORTH TEXAS PLLC URO PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 10501 N CENTRAL EXPY SUITE 200 DALLAS, TX 75231 (214) 580-2265 | Non-Participating Provider | NO |
| 1174538250 | WALGREEN CO WALGREENS #07783 | Organization | Pharmacy | 2301 LAKELAND DR DALLAS, TX 75228 (214) 321-0197 | Non-Participating Provider | NO |
| 1174538771 | SHRI JAGANNATH DRUGS LLC RAVENS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 820 N ZANG BLVD STE 120 DALLAS, TX 75208 (214) 946-1700 | Non-Participating Provider | NO |
| 1174684245 | PALMER PHARMACY PLUS INC PALMER PHARMACY PLUS | Organization | Pharmacy (Community/Retail Pharmacy) | 2731 W NORTHWEST HWY STE 105 DALLAS, TX 75220 (214) 765-9238 | Non-Participating Provider | NO |
| 1174934129 | ROSS AVENUE PHARMACY LLC. FAMILY PHARMACY #3 | Organization | Pharmacy (Community/Retail Pharmacy) | 5101 ROSS AVE SUITE # 100 DALLAS, TX 75206 (972) 833-7999 | Non-Participating Provider | NO |
| 1184008807 | FAMILIA CARE, INC. MI DOCTOR WESTMORELAND | Organization | Pharmacy (Community/Retail Pharmacy) | 3247 DAWES DR DALLAS, TX 75211 (214) 330-7767 | Non-Participating Provider | NO |
| 1184034548 | ALTA PHARMACEUTICAL CARE INC ALTA CARE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3434 W ILLINOIS AVE STE 7 DALLAS, TX 75211 (214) 330-5700 | Non-Participating Provider | NO |
| 1184099020 | PHARMACY AND SURGICAL SUPPLIES INC PHARMACY AND SURGICAL SUPPLIES INC | Organization | Pharmacy (Community/Retail Pharmacy) | 10300 SCYENE RD # 102 DALLAS, TX 75227 (469) 283-8878 | Non-Participating Provider | NO |
| 1184627200 | BIOSCRIP PHARMACY, INC. BIOSCRIP PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3826 CEDAR SPRINGS RD DALLAS, TX 75219 (214) 522-4006 | Non-Participating Provider | NO |
| 1184701914 | MINYARD FOOD STORES INC. MINYARD PHARMACY #60 | Organization | Pharmacy (Community/Retail Pharmacy) | 131 WEBBS ROYAL PLZ DALLAS, TX 75229 (214) 357-0257 | Non-Participating Provider | NO |
| 1184711095 | PARTNERS PHARMACY OF TEXAS, LLC PARTNERS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8600 SKYLINE DR DALLAS, TX 75243 (214) 355-9082 | Non-Participating Provider | NO |
| 1194742239 | WAL-MART STORES TX LP WAL-MART PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9661 AUDELIA RD DALLAS, TX 75238 (214) 343-3903 | Non-Participating Provider | NO |
| 1194856096 | DALLAS COUNTY HOSPITAL DISTRICT SOUTHEAST CAMPUS PHARMACY | Organization | Pharmacy (Clinic Pharmacy) | 9202 ELAM RD DALLAS, TX 75217 (214) 266-1666 | Non-Participating Provider | NO |
| 1205841194 | WALGREEN CO WALGREENS #05920 | Organization | Pharmacy | 1060 W CAMP WISDOM RD DALLAS, TX 75232 (972) 228-6738 | Non-Participating Provider | NO |
| 1205841251 | WALGREEN CO WALGREENS #04013 | Organization | Pharmacy | 18207 MIDWAY RD DALLAS, TX 75287 (972) 307-7556 | Non-Participating Provider | NO |
| 1205841277 | WALGREEN CO WALGREENS #05092 | Organization | Pharmacy | 3418 MCKINNEY AVE DALLAS, TX 75204 (214) 922-9283 | Non-Participating Provider | NO |
| 1205872793 | TEEKENSON PHARMACY | Organization | Pharmacy | 2409 ALCO AVE DALLAS, TX 75211 (972) 223-8787 | Non-Participating Provider | NO |
| 1215014055 | MINYARD FOOD STORES INC MINYARD PHARMACY #63 | Organization | Pharmacy (Community/Retail Pharmacy) | 2118 ABRAMS RD DALLAS, TX 75214 (214) 823-4961 | Non-Participating Provider | NO |
| 1215014253 | MINYARD FOOD STORES INC. PHAMRACY #5003 | Organization | Pharmacy (Community/Retail Pharmacy) | 5959 HARRY HINES BLVD STE 100 DALLAS, TX 75235 (214) 630-6252 | Non-Participating Provider | NO |
| 1215253067 | CVS PHARMACY, INC. CVS PHARMACY # 00296 | Organization | Pharmacy | 2420 W. WHEATLAND RD. DALLAS, TX 75237 (972) 780-1325 | Non-Participating Provider | NO |
| 1215397476 | CVS PHARMACY INC CVS PHARMACY # 10911 | Organization | Pharmacy | 150 EAST ILLINOIS AVE DALLAS, TX 75216 (214) 944-5857 | Non-Participating Provider | NO |
| 1215973813 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3650 | Organization | Pharmacy (Community/Retail Pharmacy) | 14999 PRESTON RD DALLAS, TX 75240 (972) 661-0492 | Non-Participating Provider | NO |
| 1225043292 | WALGREEN CO WALGREENS #04459 | Organization | Pharmacy | 8120 S COCKRELL HILL RD DALLAS, TX 75236 (972) 283-1473 | Non-Participating Provider | NO |
| 1225343999 | COR PHARMA LLC ROC PHARMA | Organization | Pharmacy (Community/Retail Pharmacy) | 5710 LBJ FWY STE 481 DALLAS, TX 75240 (214) 888-8090 | Non-Participating Provider | NO |
| 1225464878 | APEX PHARMA | Organization | Pharmacy | 5710 LBJ FWY STE 135 DALLAS, TX 75240 (877) 205-3767 | Non-Participating Provider | NO |
| 1235306580 | URBAN INDEPENDENT PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 7525 MILITARY PKWY DALLAS, TX 75227 (214) 275-5900 | Non-Participating Provider | NO |
| 1235428012 | H & N PHARMACY INC | Organization | Pharmacy (Community/Retail Pharmacy) | 4309 LEMMON AVE DALLAS, TX 75219 (214) 331-4500 | Non-Participating Provider | NO |
| 1235667379 | 1ST CHOICE PRESCRIPTIONS LLC 1ST CHOICE PRESCRIPTIONS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8111 LBJ FWY #540 DALLAS, TX 75251 (972) 607-4978 | Non-Participating Provider | NO |
| 1245303866 | KROGER TEXAS L P KROGER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4142 CEDAR SPRINGS RD DALLAS, TX 75219 (214) 599-9861 | Non-Participating Provider | NO |
| 1245334051 | CVS PHARMACY INC CVS PHARMACY # 07748 | Organization | Pharmacy | 10003 MARSH LN DALLAS, TX 75229 (214) 358-4865 | Non-Participating Provider | NO |
| 1245537505 | DALLAS HEALTHCARE PHARMACY LLC DALLAS HEALTHCARE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4131 S BUCKNER BLVD SUITE A DALLAS, TX 75227 (214) 388-5334 | Non-Participating Provider | NO |
| 1245600832 | JMA PARTNERS, INC GUARDIAN PHARMACY SERVICES | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 7920 ELMBROOK DR STE 108 DALLAS, TX 75247 (214) 521-2133 | Non-Participating Provider | NO |
| 1245979541 | RANDALLS FOOD & DRUGS LP | Organization | Pharmacy (Community/Retail Pharmacy) | 5959 ROYAL LN STE 522 DALLAS, TX 75230 (214) 414-1440 | Non-Participating Provider | NO |
| 1255353504 | ONCOLOGY PHARMACY SERVICES, INC TEXAS ONCOLOGY PHARMACY PRESBY | Organization | Pharmacy (Community/Retail Pharmacy) | 8220 WALNUT HILL LANE #700 DALLAS, TX 75231 (214) 265-2066 | Non-Participating Provider | NO |
| 1255540720 | WALGREEN CO WALGREENS #11402 | Organization | Pharmacy | 7777 FOREST LN STE A80 DALLAS, TX 75230 (972) 386-0572 | Non-Participating Provider | NO |
| 1255665907 | FOUNDERS HEALTHCARE, LLC PREFERRED HOMECARE | Organization | Pharmacy | 13621 INWOOD RD STE. 420 DALLAS, TX 75244 (214) 866-2700 | Non-Participating Provider | NO |
| 1265472955 | INFUSION CARE, LLC ALLIED PREFERRED CARE | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 8625 KING GEORGE DR SUITE 300 DALLAS, TX 75235 (972) 226-0700 | Non-Participating Provider | NO |
| 1265701742 | KROGER TEXAS L P KROGER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4901 MAPLE AVE DALLAS, TX 75235 (972) 725-1270 | Non-Participating Provider | NO |
| 1265974737 | WYCLIFF PHARMACY FIESTA LIFECARE PHARMACY 6, LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 4309 LEMMON AVE DALLAS, TX 75219 (972) 227-2126 | Non-Participating Provider | NO |
| 1275158065 | AIDS HEALTHCARE FOUNDATION AHF PHARMACY | Organization | Pharmacy | 2600 N STEMMONS FWY STE 141 DALLAS, TX 75207 (972) 584-9653 | Non-Participating Provider | NO |
| 1275576530 | NEW ERA PHARMACY LLC NEW ERA PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9709 BRUTON RD STE 900 DALLAS, TX 75217 (214) 942-7300 | Non-Participating Provider | NO |
| 1275620189 | TEXAS CANCER ASSOCIATES PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8440 WALNUT HILL LN SUITE 600 DALLAS, TX 75231 (214) 739-1706 | Non-Participating Provider | NO |
| 1275630774 | CVS PHARMACY INC CVS PHARMACY # 07739 | Organization | Pharmacy | 10306 FERGUSON RD DALLAS, TX 75228 (214) 320-5981 | Non-Participating Provider | NO |
| 1275771057 | PROMETHEUS SERVICES PROMETHEUS SERVICES | Organization | Pharmacy (Community/Retail Pharmacy) | 2636 WALNUT HILL LN SUITE 335 DALLAS, TX 75229 (214) 357-3779 | Non-Participating Provider | NO |
| 1275992398 | CVS PHARMACY INC CVS PHARMACY #10758 | Organization | Pharmacy | 2501 N FIELD ST DALLAS, TX 75201 (214) 468-8732 | Non-Participating Provider | NO |
| 1285671743 | ALBERTSONS LLC ALBERTSONS SAVON PHARMACY | Organization | Pharmacy | 2225 W LEDBETTER DR DALLAS, TX 75224 (214) 339-6048 | Non-Participating Provider | NO |
| 1285779199 | LORD AND A. PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2949 MARTIN LUTHER KING JR BLVD STE 1 DALLAS, TX 75215 (214) 421-3133 | Non-Participating Provider | NO |
| 1285844605 | WALGREEN CO. WALGREENS #11401 | Organization | Pharmacy | 7777 FOREST LN STE A062 DALLAS, TX 75230 (972) 661-0835 | Non-Participating Provider | NO |
| 1295097335 | SERENITY INFUSION SUITES & COMPOUNDING RX SOLUTIONS, LLC. | Organization | Pharmacy (Compounding Pharmacy) | 8625 KING GEORGE DR SUITE 300 DALLAS, TX 75235 (469) 263-4549 | Non-Participating Provider | NO |
| 1295120111 | SILVA PHARMACY, INC SILVA PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 939 W JEFFERSON BLVD STE 101 DALLAS, TX 75208 (214) 484-4130 | Non-Participating Provider | NO |
| 1295201051 | PARIS LLC FATE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2409 ALCO AVENUE STE C DALLAS, TX 75211 (305) 781-2454 | Non-Participating Provider | NO |
| 1295237543 | SOCIETY OF ST. VINCENT DE PAUL CHARITABLE PHARMACY OF NORTH TEXAS, INC ST. VINCENT DE PAUL PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5750 PINELAND DR DALLAS, TX 75231 (469) 232-9902 | Non-Participating Provider | NO |
| 1295764264 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #1540 | Organization | Pharmacy (Community/Retail Pharmacy) | 3757 FOREST LANE DALLAS, TX 75234 (972) 241-7442 | Non-Participating Provider | NO |
| 1295772630 | RLS SUPERMARKETS LLC MINYARD PHARMACY #34 | Organization | Pharmacy (Community/Retail Pharmacy) | 4349 W NORTHWEST HWY DALLAS, TX 75220 (214) 357-8195 | Non-Participating Provider | NO |
| 1295818516 | CVS PHARMACY INC CVS PHARMACY #16364 | Organization | Pharmacy | 9440 MARSH LN DALLAS, TX 75220 (214) 902-9017 | Non-Participating Provider | NO |
| 1295839009 | CVS PHARMACY INC CVS PHARMACY # 06781 | Organization | Pharmacy | 2323 W ILLINOIS AVE DALLAS, TX 75224 (214) 331-5466 | Non-Participating Provider | NO |
| 1295839017 | CVS PHARMACY INC CVS PHARMACY #05844 | Organization | Pharmacy | 9390 FOREST LN DALLAS, TX 75243 (214) 341-3600 | Non-Participating Provider | NO |
| 1306080627 | AMEX PHARMACY NO 7 INC AMEX PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 7150 GREENVILLE AVE STE 107 DALLAS, TX 75231 (469) 779-0385 | Non-Participating Provider | NO |
| 1306168786 | GENOA HEALTHCARE, LLC | Organization | Pharmacy (Long Term Care Pharmacy) | 9708 SKILLMAN ST DALLAS, TX 75243 (214) 553-6136 | Non-Participating Provider | NO |
| 1306464987 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3311 | Organization | Pharmacy (Community/Retail Pharmacy) | 2727 LIVE OAK ST DALLAS, TX 75204 (214) 273-2130 | Non-Participating Provider | NO |
| 1306851340 | WALGREEN CO WALGREENS #04624 | Organization | Pharmacy | 1461 ROBERT B CULLUM BLVD DALLAS, TX 75210 (214) 421-0750 | Non-Participating Provider | NO |
| 1306919832 | KROGER TEXAS L P KROGER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3939 FRANKFORD RD DALLAS, TX 75287 (972) 662-1011 | Non-Participating Provider | NO |
| 1316023880 | RLS SUPERMARKETS LLC MINYARD PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3230 MARTIN LUTHER KING JR BLVD DALLAS, TX 75210 (214) 421-1067 | Non-Participating Provider | NO |
| 1326084104 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3560 | Organization | Pharmacy (Community/Retail Pharmacy) | 8698 SKILLMAN ST DALLAS, TX 75243 (214) 340-1368 | Non-Participating Provider | NO |
| 1326085887 | ALBERTSONS LLC ALBERTSONS SAVON PHARMACY | Organization | Pharmacy | 9779 FOREST LN DALLAS, TX 75243 (972) 234-1273 | Non-Participating Provider | NO |
| 1326103755 | ACORN PHARMACY INC ACORN PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5315 ROSS AVE DALLAS, TX 75206 (214) 887-0744 | Non-Participating Provider | NO |
| 1336133073 | DALLAS COUNTY HOSPITAL DISTRICT DEHARO PHARMACY | Organization | Pharmacy | 1400 N WESTMORELAND RD DALLAS, TX 75211 (469) 419-1976 | Non-Participating Provider | NO |
| 1336227370 | MINYARD FOOD STORES INC. CARNIVAL PHARMACY #119 | Organization | Pharmacy (Community/Retail Pharmacy) | 3460 WEBB CHAPEL EXT DALLAS, TX 75220 (214) 358-3395 | Non-Participating Provider | NO |
| 1336692235 | LIFECARE PHARMACY OF DALLAS LLC LIFECARE PHARMACY OF DALLAS | Organization | Pharmacy | 9709 BRUTON RD STE 900 DALLAS, TX 75217 (214) 942-7300 | Non-Participating Provider | NO |
| 1346234093 | DALLAS COUNTY HOSPITAL DISTRICT HATCHER STATION HEALTH CENTER PHARMACY | Organization | Pharmacy | 4600 SCYENE RD. DALLAS, TX 75246 (469) 419-1976 | Non-Participating Provider | NO |
| 1346279304 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3582 | Organization | Pharmacy (Community/Retail Pharmacy) | 18212 PRESTON RD DALLAS, TX 75252 (972) 985-2250 | Non-Participating Provider | NO |
| 1346288701 | RLS SUPERMARKETS LLC MINYARD PHARMACY #40 | Organization | Pharmacy (Community/Retail Pharmacy) | 7007 ARAPAHO RD DALLAS, TX 75248 (972) 387-8977 | Non-Participating Provider | NO |
| 1346527983 | FAMILIA CARE INC. MI DOCTOR PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 655 W. ILLINOIS AVENUE, BUILDING 900, SUITE 916/918, DALLAS, TX 75224 (214) 845-4000 | Non-Participating Provider | NO |
| 1346616893 | CVS PHARMACY INC CVS PHARMACY #10634 | Organization | Pharmacy | 2350 N FITZHUGH AVE DALLAS, TX 75204 (214) 515-5574 | Non-Participating Provider | NO |
| 1346727609 | MEDICINESPLUS INTEGRATIVE CARE LLC IMEDSPLUS I-CARE | Organization | Pharmacy (Compounding Pharmacy) | 2603 OAK LAWN AVE STE 101A DALLAS, TX 75219 (972) 478-1377 | Non-Participating Provider | NO |
| 1346742376 | BOND PHARMACY INC ADVANCED INFUSION SOLUTIONS | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 18451 DALLAS PKWY STE 125 DALLAS, TX 75287 (877) 443-4006 | Non-Participating Provider | NO |
| 1346800604 | CVS PHARMACY INC. CVS PHARMACY # 10977 | Organization | Pharmacy | 7979 BELT LINE RD DALLAS, TX 75254 (972) 936-7998 | Non-Participating Provider | NO |
| 1356388813 | RLS SUPERMARKETS LLC MINYARD PHARMACY #41 | Organization | Pharmacy (Community/Retail Pharmacy) | 3630 FOREST LN DALLAS, TX 75234 (214) 351-0007 | Non-Participating Provider | NO |
| 1356456396 | ALDRIDGES FAMILY II PHARMACY | Organization | Pharmacy | 302 W 9TH ST DALLAS, TX 75208 (214) 942-2811 | Non-Participating Provider | NO |
| 1356479612 | BLUITTS PHARMACY BLUITTS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2809 CEDAR CREST BLVD DALLAS, TX 75203 (214) 941-1258 | Non-Participating Provider | NO |
| 1356618227 | PALAKRITU ENTERPRISE INC KK'S PHARMACY #51 | Organization | Pharmacy (Community/Retail Pharmacy) | 2480 W ILLINOIS AVE DALLAS, TX 75233 (214) 337-7770 | Non-Participating Provider | NO |
| 1366463325 | PHARMED LP FAMILY CARE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9991 MARSH LN DALLAS, TX 75220 (214) 357-3303 | Non-Participating Provider | NO |
| 1366474199 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #2544 | Organization | Pharmacy (Community/Retail Pharmacy) | 10455 N CENTRAL EXPY DALLAS, TX 75231 (214) 369-7328 | Non-Participating Provider | NO |
| 1366539272 | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER DALLAS MENTAL HEALTH CLINIC | Organization | Pharmacy (Clinic Pharmacy) | 2600 N STEMMONS FWY STE 151 DALLAS, TX 75207 (214) 743-1229 | Non-Participating Provider | NO |
| 1366806853 | JAMMZ CHEMISTS LLC CEDRA PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9669 N CENTRAL EXPY STE 190 SUITE 190 DALLAS, TX 75231 (214) 983-1000 | Non-Participating Provider | NO |
| 1366843948 | SPECIALTY SCRIPTS, INC. SPECIALTY SCRIPTS, INC. | Organization | Pharmacy (Compounding Pharmacy) | 4901 LYNDON B JOHNSON FWY STE 100 DALLAS, TX 75244 (972) 239-5777 | Non-Participating Provider | NO |
| 1366928780 | JC MILLENNIUM ENTERPRISES, LLC HERO HOME DELIVERY & SPECIALTY PHARMACY | Organization | Pharmacy (Long Term Care Pharmacy) | 4926 COLUMBIA AVE DALLAS, TX 75214 (817) 408-0417 | Non-Participating Provider | NO |
| 1376050146 | CVS PHARMACY INC CVS PHARMACY # 10948 | Organization | Pharmacy | 108 W DAVIS ST DALLAS, TX 75208 (214) 943-1744 | Non-Participating Provider | NO |
| 1376050674 | AMN PHARMACY LLC SOLAR HEALTH PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5520 LBJ FWY STE 200 DALLAS, TX 75240 (972) 232-2326 | Non-Participating Provider | NO |
| 1376151704 | ABDUL HAMEED | Individual | Pharmacy (Specialty Pharmacy) | 4309 LEMMON AVE DALLAS, TX 75219 (214) 331-4500 | Non-Participating Provider | NO |
| 1376556530 | NICHOLAOS C BELLOS MD PA AB THERAPEUTICS | Organization | Pharmacy (Community/Retail Pharmacy) | 2909 LEMMON AVE DALLAS, TX 75204 (214) 887-6682 | Non-Participating Provider | NO |
| 1376638999 | PRESBYTERIAN APOTHECARY | Organization | Pharmacy (Community/Retail Pharmacy) | 8210 WALNUT HILL LN STE 113 DALLAS, TX 75231 (214) 345-7759 | Non-Participating Provider | NO |
| 1376640771 | CVS PHARMACY INC CVS PHARMACY #06965 | Organization | Pharmacy | 7215 SKILLMAN ST SUITE 310 DALLAS, TX 75231 (214) 349-4400 | Non-Participating Provider | NO |
| 1376647198 | CVS PHARMACY INC CVS PHARMACY # 04272 | Organization | Pharmacy | 4202 ROSS AVE DALLAS, TX 75204 (214) 584-2480 | Non-Participating Provider | NO |
| 1376939272 | C&A PHARMACEUTICAL ENTERPRISES, LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 10325 LAKE JUNE RD STE 400 DALLAS, TX 75217 (972) 285-0152 | Non-Participating Provider | NO |
| 1376971499 | PLANNED PARENTHOOD OF GREATER TEXAS PLANNED PARENTHOOD OF GREATER TEXAS | Organization | Pharmacy (Clinic Pharmacy) | 9100 N CENTRAL EXPY # 169 DALLAS, TX 75231 (214) 368-1485 | Non-Participating Provider | NO |
| 1386034338 | AA PHARMACY LLC AA PHARMACY | Organization | Pharmacy | 17826 DAVENPORT RD STE B DALLAS, TX 75252 (469) 351-3462 | Non-Participating Provider | NO |
| 1386651321 | WALGREEN CO WALGREENS #09126 | Organization | Pharmacy | 2602 FORT WORTH AVE DALLAS, TX 75211 (214) 941-0926 | Non-Participating Provider | NO |
| 1386673358 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3597 | Organization | Pharmacy (Community/Retail Pharmacy) | 11920 PRESTON RD DALLAS, TX 75230 (972) 980-4915 | Non-Participating Provider | NO |
| 1386748184 | CVS PHARMACY INC CVS PHARMACY 07647 | Organization | Pharmacy | 5111 GREENVILLE AVE SUITE 140 DALLAS, TX 75206 (214) 691-0861 | Non-Participating Provider | NO |
| 1386985414 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-3015 | Organization | Pharmacy (Community/Retail Pharmacy) | 2827 S BUCKNER BLVD DALLAS, TX 75227 (214) 388-5703 | Non-Participating Provider | NO |
| 1396056313 | A & C DISCOUNT PHARMACY LLC MEDPHARMA PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2600 N STEMMONS FWY STE 164 DALLAS, TX 75207 (469) 331-8290 | Non-Participating Provider | NO |
| 1396192050 | CVS PHARMACY, INC. CVS PHARMACY #10910 | Organization | Pharmacy | 3030 SYLVAN AVE DALLAS, TX 75212 (214) 749-5197 | Non-Participating Provider | NO |
| 1396849196 | CVS PHARMACY INC CVS PHARMACY # 07456 | Organization | Pharmacy | 2427 W JEFFERSON BLVD DALLAS, TX 75211 (214) 943-2883 | Non-Participating Provider | NO |
| 1407243306 | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER METROCARE PHARMACY AT LIFENET | Organization | Pharmacy (Clinic Pharmacy) | 9708 SKILLMAN ST DALLAS, TX 75243 (469) 899-3200 | Non-Participating Provider | NO |
| 1407253966 | TRINITY DRUGS LLC TRINITY FAMILY PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 11445 GARLAND RD SUITE #110 DALLAS, TX 75218 (214) 774-9261 | Non-Participating Provider | NO |
| 1407282056 | TOTAL PHARMA | Organization | Pharmacy | 5710 LBJ FWY STE 100 DALLAS, TX 75240 (877) 201-8656 | Non-Participating Provider | NO |
| 1407384373 | WALGREEN CO COMMUNITY, A WALGREENS PHARMACY #16538 | Organization | Pharmacy | 7859 WALNUT HILL LN STE 110 DALLAS, TX 75230 (214) 530-9759 | Non-Participating Provider | NO |
| 1407475684 | PCN CARE PLLC | Organization | Pharmacy (Community/Retail Pharmacy) | 3201 W SANER AVE STE 100 DALLAS, TX 75233 (214) 377-4310 | Non-Participating Provider | NO |
| 1417035460 | MINYARD FOOD STORES INC. CARVNIVAL PHARMACY #123 | Organization | Pharmacy (Community/Retail Pharmacy) | 912 W 12TH ST DALLAS, TX 75208 (214) 943-4161 | Non-Participating Provider | NO |
| 1417212820 | KROGER TEXAS LP KROGER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4241 CAPITOL AVE DALLAS, TX 75204 (972) 338-3101 | Non-Participating Provider | NO |
| 1417694738 | WALGREEN CO . WALGREENS #15966 | Organization | Pharmacy | 5301 W LOVERS LN STE 101 DALLAS, TX 75209 (217) 709-2351 | Non-Participating Provider | NO |
| 1427070770 | ONCOLOGY PHARMACY SERVICES, INC TEXAS ONCOLOGY PHARMACY METHODIST | Organization | Pharmacy (Community/Retail Pharmacy) | 3555 WEST WHEATLAND ROAD DALLAS, TX 75237 (972) 780-3433 | Non-Participating Provider | NO |
| 1427234848 | CVS PHARMACY INC. CVS PHARMACY # | Organization | Pharmacy (Community/Retail Pharmacy) | 39739 LBJ FWY DALLAS, TX 75237 (469) 341-3921 | Non-Participating Provider | NO |
| 1427370766 | PRIDE PHARMACY - CARLISLE LLC OAK LAWN PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4003 LEMMON AVE DALLAS, TX 75219 (214) 954-7389 | Non-Participating Provider | NO |
| 1427535780 | MEDICINESPLUS LLC IMEDSPLUS THE I-LAB | Organization | Pharmacy | 2603 OAK LAWN AVE STE 102 DALLAS, TX 75219 (972) 478-1388 | Non-Participating Provider | NO |
| 1437197894 | RLS SUPERMARKETS LLC MINYARD PHARMACY #32 | Organization | Pharmacy (Community/Retail Pharmacy) | 6464 E MOCKINGBIRD LN DALLAS, TX 75214 (214) 827-4230 | Non-Participating Provider | NO |
| 1437253226 | CVS PHARMACY INC CVS PHARMACY #07440 | Organization | Pharmacy | 17410 MARSH LN DALLAS, TX 75287 (972) 306-4931 | Non-Participating Provider | NO |
| 1447296066 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #1973 | Organization | Pharmacy (Community/Retail Pharmacy) | 7000 SNIDER PLZ DALLAS, TX 75205 (214) 346-4586 | Non-Participating Provider | NO |
| 1447338439 | MINYARD FOOD STORES INC. SACK 'N SAVE #206 | Organization | Pharmacy (Community/Retail Pharmacy) | 2550 W RED BIRD LN DALLAS, TX 75237 (214) 330-0347 | Non-Participating Provider | NO |
| 1447481460 | A & C DISCOUNT PHARMACY LLC A&C DISCOUNT PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8067 W VIRGINIA DR DALLAS, TX 75237 (972) 230-5601 | Non-Participating Provider | NO |
| 1447523584 | PANACEA PHARMACY LLC PANACEA RX PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 1050 N WESTMORELAND RD STE 314 DALLAS, TX 75211 (214) 339-2352 | Non-Participating Provider | NO |
| 1447580329 | PHAM FAMILY PHARMACY INC PHAM FAMILY PHARMACY INC | Organization | Pharmacy (Community/Retail Pharmacy) | 11722 MARSH LN STE 343 DALLAS, TX 75229 (210) 366-1212 | Non-Participating Provider | NO |
| 1457478083 | DALLAS COUNTY HOSPITAL DISTRICT HATCHER STATION HEALTH CENTER PHARMACY | Organization | Pharmacy (Clinic Pharmacy) | 4600 SCYENE RD DALLAS, TX 75210 (214) 266-1075 | Non-Participating Provider | NO |
| 1457918112 | SOCH PHARMACY LLC SOCH PHARMACY LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 8067 W VIRGINIA DR # 200 DALLAS, TX 75237 (214) 641-7142 | Non-Participating Provider | NO |
| 1467539288 | MURARI PHARMACY LLC CASHSAVER PHARMACY 46 | Organization | Pharmacy (Community/Retail Pharmacy) | 1201 W CAMP WISDOM RD DALLAS, TX 75232 (214) 376-2709 | Non-Participating Provider | NO |
| 1467752287 | ADVANCED INTEGRATED MEDICATIONS | Organization | Pharmacy (Community/Retail Pharmacy) | 11500 N STEMMONS FWY SUITE 158 DALLAS, TX 75229 (469) 619-3005 | Non-Participating Provider | NO |
| 1467822981 | RX MART LLC SAFECARE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 10995 PLANO RD STE 101 DALLAS, TX 75238 (972) 525-2226 | Non-Participating Provider | NO |
| 1467845677 | SHAPA INC RITE CARE PHARMACY | Organization | Pharmacy (Specialty Pharmacy) | 9415 BRUTON RD STE 3103 DALLAS, TX 75217 (214) 421-2210 | Non-Participating Provider | NO |
| 1477560381 | WALGREEN CO WALGREENS #07334 | Organization | Pharmacy | 5001 ROSS AVE DALLAS, TX 75206 (214) 370-8747 | Non-Participating Provider | NO |
| 1477582435 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #2990 | Organization | Pharmacy (Community/Retail Pharmacy) | 7117 INWOOD RD DALLAS, TX 75209 (214) 350-1992 | Non-Participating Provider | NO |
| 1477662427 | PRESTON ROAD PHARMACY, INC. | Organization | Pharmacy (Community/Retail Pharmacy) | 6901 PRESTON RD DALLAS, TX 75205 (214) 521-9991 | Non-Participating Provider | NO |
| 1477725398 | LIFESPAN PHARMACY INC LIFESPAN PHARMACY | Organization | Pharmacy (Specialty Pharmacy) | 1341 W MOCKINGBIRD LN SUITE 304W DALLAS, TX 75247 (214) 220-0007 | Non-Participating Provider | NO |
| 1477742666 | EAST LAKE PHARMACY EAST LAKE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 10611 GARLAND RD STE 104 DALLAS, TX 75218 (214) 327-7334 | Non-Participating Provider | NO |
| 1487372348 | SILVERLINE PARTNERS OF TEXAS LLC LOOP 12 LTC PHARMACY | Organization | Pharmacy (Long Term Care Pharmacy) | 3232 GREAT TRINITY FOREST WAY # 103 DALLAS, TX 75216 (469) 547-2222 | Non-Participating Provider | NO |
| 1487731444 | MINYARD FOOD STORES INC. CARNIVAL PHARMACY #114 | Organization | Pharmacy (Community/Retail Pharmacy) | 2223 SINGLETON BLVD STE 116 DALLAS, TX 75212 (214) 637-6189 | Non-Participating Provider | NO |
| 1487800165 | EXECUTIVE HEALTH, LLC APOTHECARY SHOP #7 | Organization | Pharmacy | 6303 FOREST PARK RD STE 255A DALLAS, TX 75235 (214) 357-8889 | Non-Participating Provider | NO |
| 1487922787 | TOTAL PHARMA LLC LOT PHARMA | Organization | Pharmacy (Community/Retail Pharmacy) | 5710 LBJ FWY STE 140 DALLAS, TX 75240 (214) 888-8099 | Non-Participating Provider | NO |
| 1497031447 | NUVISION PHARMACY, INC NUVISION PHARMACY, INC | Organization | Pharmacy (Compounding Pharmacy) | 4001 MCEWEN RD STE 110 DALLAS, TX 75244 (214) 347-4008 | Non-Participating Provider | NO |
| 1497040554 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-5823 | Organization | Pharmacy (Community/Retail Pharmacy) | 6185 RETAIL RD STE 200 DALLAS, TX 75231 (972) 656-2215 | Non-Participating Provider | NO |
| 1497178404 | PINNACLE PHARMA LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 5710 LBJ FWY STE 100 DALLAS, TX 75240 (877) 201-8656 | Non-Participating Provider | NO |
| 1497760466 | WALGREEN CO WALGREENS #04012 | Organization | Pharmacy | 6707 W NORTHWEST HWY DALLAS, TX 75225 (214) 361-4637 | Non-Participating Provider | NO |
| 1497792949 | RLS SUPERMARKETS LLC MINYARD PHARMACY #68 | Organization | Pharmacy (Community/Retail Pharmacy) | 3524 MCKINNEY AVE DALLAS, TX 75204 (214) 528-0516 | Non-Participating Provider | NO |
| 1497878722 | NORTH TEXAS INFUSION AND SPECIALTY PHARMACY, L.L.C. | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 3409 WORTH STREET SUITE 725 DALLAS, TX 75246 (214) 276-5616 | Non-Participating Provider | NO |
| 1508354598 | SILVERLINE PARTNERS OF TEXAS LLC LOOP 12 PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3232 GREAT TRINITY FOREST WAY STE 103 DALLAS, TX 75216 (469) 547-2222 | Non-Participating Provider | NO |
| 1508397282 | COSTCO WHOLESALE CORPORATION COSTCO PHARMACY #1266 | Organization | Pharmacy (Community/Retail Pharmacy) | 8055 CHURCHILL WAY DALLAS, TX 75251 (469) 680-7556 | Non-Participating Provider | NO |
| 1508847815 | MPRX, INC MEDICAL PARK PHARMACY | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 2508 OAK LAWN AVE DALLAS, TX 75219 (214) 221-8181 | Non-Participating Provider | NO |
| 1508922873 | PARKSIDE OASIS INC GENPHARM PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3920 W WHEATLAND RD STE 100 DALLAS, TX 75237 (972) 572-9006 | Non-Participating Provider | NO |
| 1518043462 | MINYARD FOOD STORES, INC. | Organization | Pharmacy (Community/Retail Pharmacy) | 3400 W. ILLINOIS DALLAS, TX 75211 (214) 339-0347 | Non-Participating Provider | NO |
| 1518054394 | PARK INFUSIONCARE LP | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 13621 INWOOD RD SUITE 420 DALLAS, TX 75244 (214) 866-2700 | Non-Participating Provider | NO |
| 1518419886 | RX PROFESSIONALS LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 1709 MARTIN LUTHER KING JR BLVD STE 2 DALLAS, TX 75215 (214) 396-9790 | Non-Participating Provider | NO |
| 1518628320 | INDUNA INVESTMENTS INTERNATIONAL INC | Organization | Pharmacy (Community/Retail Pharmacy) | 18484 PRESTON RD STE 300 DALLAS, TX 75252 (469) 248-1000 | Non-Participating Provider | NO |
| 1528137957 | GUARDIAN HEALTH SYSTEMS MEDICAL PARK | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 7920 ELMBROOK DRIVE SUITE 108 DALLAS, TX 75247 (214) 221-8181 | Non-Participating Provider | NO |
| 1528140308 | SMA GROUP INCORPORATED SMA PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8067 W VIRGINIA DR DALLAS, TX 75237 (214) 635-3435 | Non-Participating Provider | NO |
| 1528441946 | ISA MANAGEMENT SERVICES, LLC GASTON PHARMACY # 2 | Organization | Pharmacy (Community/Retail Pharmacy) | 712 N. WASHINGTON AVE STE 500 DALLAS, TX 75246 (469) 466-1243 | Non-Participating Provider | NO |
| 1538219407 | APPLE DRUGS | Organization | Pharmacy (Community/Retail Pharmacy) | 4811B COLUMBIA AVE DALLAS, TX 75226 (214) 821-4008 | Non-Participating Provider | NO |
| 1538446737 | REMKEM CORPORATION WHITE ROCK PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9037 GARLAND RD DALLAS, TX 75218 (214) 660-1603 | Non-Participating Provider | NO |
| 1538575469 | CVS PHARMACY INC CVS PHARMACY #10324 | Organization | Pharmacy | 6420 GASTON AVE DALLAS, TX 75214 (469) 334-0758 | Non-Participating Provider | NO |
| 1538591375 | BUCKEYE PHARMACY BUCKEYE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 1401 S BUCKNER BLVD STE 127 DALLAS, TX 75217 (214) 391-7441 | Non-Participating Provider | NO |
| 1538633326 | METHODIST COMMUNITY PHARMACY, LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 1441 N BECKLEY AVE LBBY B DALLAS, TX 75203 (214) 933-6050 | Non-Participating Provider | NO |
| 1538898051 | LINK PHARMACY CORP LINK PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 18484 PRESTON RD STE 300 DALLAS, TX 75252 (469) 248-1000 | Non-Participating Provider | NO |
| 1548207004 | ALBERTSONS LLC ALBERTSONS SAVON PHARMACY | Organization | Pharmacy | 14211 COIT RD DALLAS, TX 75254 (972) 239-7024 | Non-Participating Provider | NO |
| 1548364367 | CVS PHARMACY INC CVS PHARMACY #02979 | Organization | Pharmacy | 6120 E MOCKINGBIRD LN DALLAS, TX 75214 (214) 887-6955 | Non-Participating Provider | NO |
| 1548491517 | A & C DISCOUNT PHARMACY LLC MEDCORE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2600 N STEMMONS FWY STE 176 DALLAS, TX 75207 (469) 333-8660 | Non-Participating Provider | NO |
| 1558313940 | ARMSTRONG RX II LP TEXAS RX PHARMACY II | Organization | Pharmacy (Community/Retail Pharmacy) | 11613 N. CENTRAL EXPRESSWAY STE 114 DALLAS, TX 75243 (214) 361-9228 | Non-Participating Provider | NO |
| 1558468959 | CVS PHARMACY INC CVS PHARMACY #06963 | Organization | Pharmacy | 7102 CAMPBELL RD DALLAS, TX 75248 (972) 931-7045 | Non-Participating Provider | NO |
| 1558632489 | DALLAS COUNTY HOSPITAL DISTRICT PARKLAND CENTRAL FILL | Organization | Pharmacy | 2121 BUTLER ST DALLAS, TX 75235 (214) 590-2881 | Non-Participating Provider | NO |
| 1558653626 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS UTSOUTHWESTERN MEDICAL CENTER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 6202 HARRY HINES BLVD NM 2.850 DALLAS, TX 75390 (214) 645-2666 | Non-Participating Provider | NO |
| 1558759316 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS UTSW UNIVERSITY HOSPITAL RETAIL PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 6201 HARRY HINES BLVD SUITE 01.117 DALLAS, TX 75390 (214) 633-4122 | Non-Participating Provider | NO |
| 1558872143 | CVS PHARMACY INC. | Organization | Pharmacy | 9215 MIDWAY RD DALLAS, TX 75220 (214) 351-1281 | Non-Participating Provider | NO |
| 1568477594 | WALGREEN CO WALGREENS #03956 | Organization | Pharmacy | 1104 S WESTMORELAND RD DALLAS, TX 75211 (214) 467-3540 | Non-Participating Provider | NO |
| 1568566362 | CVS PHARMACY INC CVS PHARMACY 07643 | Organization | Pharmacy | 6832 SNIDER PLZ DALLAS, TX 75205 (214) 363-1524 | Non-Participating Provider | NO |
| 1568754141 | VC PHARMACY INC RITE CARE PHARMACY V | Organization | Pharmacy (Community/Retail Pharmacy) | 9415 BRUTON RD STE 3104 DALLAS, TX 75217 (832) 514-3401 | Non-Participating Provider | NO |
| 1568883924 | NUVISION PHARMARY, INC. | Organization | Pharmacy (Mail Order Pharmacy) | 4001 MCEWEN ROAD SUITE 110 DALLAS, TX 75244 (214) 347-4008 | Non-Participating Provider | NO |
| 1578093183 | DOUGHERTYS LTC PHARMACY LLC DOUGHERTY'S LTC PHARMACY | Organization | Pharmacy (Long Term Care Pharmacy) | 5959 ROYAL LN STE 513 DALLAS, TX 75230 (214) 373-5301 | Non-Participating Provider | NO |
| 1578578191 | KIMODALE INC HUNTS PHARMACY | Organization | Pharmacy | 7932 S LOOP 12 DALLAS, TX 75217 (214) 398-8113 | Non-Participating Provider | NO |
| 1578580627 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-8930 | Organization | Pharmacy (Community/Retail Pharmacy) | 15757 COIT RD DALLAS, TX 75248 (972) 235-0619 | Non-Participating Provider | NO |
| 1578634705 | APEX PHARMA LLC APEX PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5710 LYNDON B JOHNSON FWY SUITE 190 DALLAS, TX 75240 (972) 432-6550 | Non-Participating Provider | NO |
| 1578667366 | CVS PHARMACY INC CVS PHARMACY #07413 | Organization | Pharmacy | 10014 GARLAND RD DALLAS, TX 75218 (214) 320-8690 | Non-Participating Provider | NO |
| 1588068860 | CHB PHARMACY CHB PHARMACY CARE CENTER | Organization | Pharmacy (Community/Retail Pharmacy) | 14211 COIT RD DALLAS, TX 75254 (972) 661-1293 | Non-Participating Provider | NO |
| 1588679559 | WALGREEN CO WALGREENS #05093 | Organization | Pharmacy | 1306 N BECKLEY AVE DALLAS, TX 75203 (214) 948-3559 | Non-Participating Provider | NO |
| 1588679575 | WALGREEN CO WALGREENS #06120 | Organization | Pharmacy | 9937 GARLAND RD DALLAS, TX 75218 (214) 328-4971 | Non-Participating Provider | NO |
| 1588681613 | SAMS EAST INC SAMS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 12000 MCCREE RD DALLAS, TX 75238 (214) 461-8777 | Non-Participating Provider | NO |
| 1588686810 | ONCOLOGY PHARMACY SERVICES, INC TEXAS ONCOLOGY PHARMACY MCD | Organization | Pharmacy (Community/Retail Pharmacy) | 7777 FOREST LN BUILDING D, #202 DALLAS, TX 75230 (972) 566-5608 | Non-Participating Provider | NO |
| 1588746002 | CHILDREN'S HEALTH CLINICAL OPERATIONS FIRST PHARMACY CHILDREN'S MEDICAL CENTER OF DALLAS | Organization | Pharmacy (Community/Retail Pharmacy) | 1935 MEDICAL DISTRICT DR E-1000 DALLAS, TX 75235 (214) 456-2879 | Non-Participating Provider | NO |
| 1598772477 | WALGREEN CO WALGREENS #06891 | Organization | Pharmacy | 11403 E NORTHWEST HWY DALLAS, TX 75218 (214) 341-2921 | Non-Participating Provider | NO |
| 1598865800 | EXECUTIVE HEALTHCARE THE APOTHECARY SHOP | Organization | Pharmacy (Community/Retail Pharmacy) | 6303 FOREST PARK RD STE A 255 DALLAS, TX 75235 (214) 357-8889 | Non-Participating Provider | NO |
| 1609179712 | GENOA HEALTHCARE, LLC | Organization | Pharmacy (Long Term Care Pharmacy) | 2600 N STEMMONS FWY DALLAS, TX 75207 (214) 634-1300 | Non-Participating Provider | NO |
| 1609420025 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS UT SOUTHWESTERN CAMPUS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5303 HARRY HINES BLVD SUITE 100 JAMES ASTON AMBULATORY CARE CENTER DALLAS, TX 75390 (214) 648-2422 | Non-Participating Provider | NO |
| 1609584093 | HEALING HANDS MINISTRIES INC. HHM HEALTH PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5750 PINELAND DR STE 344 DALLAS, TX 75231 (972) 354-8706 | Non-Participating Provider | NO |
| 1609988518 | HOWARD ONEAL ALDRIDGE ALDRIDGES FAMILY | Organization | Pharmacy (Community/Retail Pharmacy) | 1408 BONNIE VIEW RD DALLAS, TX 75203 (214) 943-2322 | Non-Participating Provider | NO |
| 1619356656 | AC PHARMACY, LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 9090 SKILLMAN ST SUITE 180A DALLAS, TX 75243 (214) 221-0353 | Non-Participating Provider | NO |
| 1619906674 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3614 | Organization | Pharmacy (Community/Retail Pharmacy) | 315 S HAMPTON RD DALLAS, TX 75208 (214) 331-0169 | Non-Participating Provider | NO |
| 1619988516 | RUMSEY PHARMACY INC. ELAM ROAD PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9209 ELAM RD SUITE 105 DALLAS, TX 75217 (214) 391-6363 | Non-Participating Provider | NO |
| 1629014246 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #2534 | Organization | Pharmacy (Community/Retail Pharmacy) | 6333 E MOCKINGBIRD LN DALLAS, TX 75214 (214) 823-9916 | Non-Participating Provider | NO |
| 1629024641 | BIOSCRIP PHARMACY, INC. BIOSCRIP PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2909 LEMMON AVE SUITE A DALLAS, TX 75204 (214) 740-0900 | Non-Participating Provider | NO |
| 1629104039 | BAYLOR HEALTH ENTERPRISES LP BAYLOR SCOTT & WHITE PHARMACY #101 | Organization | Pharmacy (Community/Retail Pharmacy) | 3600 GASTON AVE STE 109 DALLAS, TX 75246 (214) 820-3451 | Non-Participating Provider | NO |
| 1629143433 | MINYARD FOOD STORES INC. MINYARD PHARMACY #5002 | Organization | Pharmacy (Community/Retail Pharmacy) | 7777 FOREST LN STE A62 DALLAS, TX 75230 (972) 566-5800 | Non-Participating Provider | NO |
| 1629216908 | RAZI RX INC SINA RX PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3460 WEBB CHAPEL EXT DALLAS, TX 75220 (214) 350-6600 | Non-Participating Provider | NO |
| 1629287453 | PALMER PHARMACY PLUS INC PALMER PHARMACY PLUS | Organization | Pharmacy | 2731 W NORTHWEST HWY SUITE 105 DALLAS, TX 75220 (214) 765-9238 | Non-Participating Provider | NO |
| 1639242258 | KROGER TEXAS L P KROGER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5665 E MOCKINGBIRD LN DALLAS, TX 75206 (214) 826-2967 | Non-Participating Provider | NO |
| 1639248727 | DALLAS COUNTY HOSPITAL DISTRICT ANDERSON CLINIC PHARMACY | Organization | Pharmacy (Clinic Pharmacy) | 5184 TEX OAK AVE. STE 01.711 DALLAS, TX 75235 (214) 590-2870 | Non-Participating Provider | NO |
| 1639255565 | RLS SUPERMARKETS LLC MINYARD PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 10121 LAKE JUNE RD DALLAS, TX 75217 (972) 289-9083 | Non-Participating Provider | NO |
| 1639273444 | CVS PHARMACY INC CVS PHARMACY # 06777 | Organization | Pharmacy | 4207 LEMMON AVE DALLAS, TX 75219 (214) 528-0328 | Non-Participating Provider | NO |
| 1639579659 | CVS PHARMACY INC CVS PHARMACY #10351 | Organization | Pharmacy | 3133 LEMMON AVE E DALLAS, TX 75204 (214) 599-2108 | Non-Participating Provider | NO |
| 1649264391 | DALLAS COUNTY HOSPITAL DISTRICT COPC PHARMACY SOUTHEAST CAMPUS | Organization | Pharmacy | 9202 ELAM RD DALLAS, TX 75217 (214) 590-1766 | Non-Participating Provider | NO |
| 1659318111 | ALBERTSONS LLC ALBERTSONS SAVON PHARMACY | Organization | Pharmacy | 2515 W JEFFERSON BLVD DALLAS, TX 75211 (214) 948-3969 | Non-Participating Provider | NO |
| 1659393312 | CVS PHARMACY INC CVS PHARMACY #16003 | Organization | Pharmacy | 13131 MONTFORT DR DALLAS, TX 75240 (972) 490-3951 | Non-Participating Provider | NO |
| 1659432474 | MERIDIAN PHARMACY GROUP NW HIGHWAY INC MERIDIAN PHARMACY GROUP | Organization | Pharmacy (Community/Retail Pharmacy) | 2815 S HAMPTON RD DALLAS, TX 75224 (214) 333-1600 | Non-Participating Provider | NO |
| 1659434801 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS UT SOUTHWESTERN CAMPUS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5303 HARRY HINES BOULEVARD SUITE 100 JAMES W ASTON AMBULATORY CARE CENTER DALLAS, TX 75390 (214) 648-2422 | Non-Participating Provider | NO |
| 1659444180 | KROGER TEXAS L P KROGER PHARMACY #689 | Organization | Pharmacy (Community/Retail Pharmacy) | 17194 PRESTON RD DALLAS, TX 75248 (972) 931-9371 | Non-Participating Provider | NO |
| 1659475481 | CVS PHARMACY INC CVS PHARMACY #05963 | Organization | Pharmacy | 15105 PRESTON RD DALLAS, TX 75248 (972) 763-1527 | Non-Participating Provider | NO |
| 1659636850 | OMEGA PHARMACY INC OMEGA PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4507 MAPLE AVE STE 100 DALLAS, TX 75219 (214) 599-8844 | Non-Participating Provider | NO |
| 1659641199 | DALLAS COUNTY HOSPITAL DISTRICT PARKLAND CENTRAL FILL | Organization | Pharmacy | 2121 BUTLER ST DALLAS, TX 75235 (214) 590-2881 | Non-Participating Provider | NO |
| 1659658110 | C AND I INTERNATIONAL INC. C AND I PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 1321 N COCKRELL HILL RD SUITE 101A DALLAS, TX 75211 (469) 567-3654 | Non-Participating Provider | NO |
| 1659749273 | CVS PHARMACY INC CVS PHARMACY #10670 | Organization | Pharmacy | 4930 MAPLE AVE DALLAS, TX 75235 (214) 520-4840 | Non-Participating Provider | NO |
| 1659789279 | AIDS HEALTHCARE FOUNDATION AHF PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3920 CEDAR SPRINGS RD DALLAS, TX 75219 (214) 599-7020 | Non-Participating Provider | NO |
| 1659848968 | PILL CLOUD, LLC | Organization | Pharmacy | 8989 FOREST LN STE 138 DALLAS, TX 75243 (214) 936-9559 | Non-Participating Provider | NO |
| 1669579157 | CVS PHARMACY INC CVS PHARMACY #07288 | Organization | Pharmacy | 11661 PRESTON RD STE 218 DALLAS, TX 75230 (214) 363-1571 | Non-Participating Provider | NO |
| 1669594610 | URBAN REXALL, LLC URBAN PHARMACY | Organization | Pharmacy | 7517 MILITARY PKWY DALLAS, TX 75227 (214) 381-1179 | Non-Participating Provider | NO |
| 1669812871 | CVS PHARMACY INC CVS PHARMACY #10056 | Organization | Pharmacy | 5050 S LANCASTER RD DALLAS, TX 75216 (214) 375-8924 | Non-Participating Provider | NO |
| 1679150551 | AMC PHARMACY INC | Organization | Pharmacy (Long Term Care Pharmacy) | 655 W ILLINOIS AVE STE 918 DALLAS, TX 75224 (972) 707-0540 | Non-Participating Provider | NO |
| 1679173520 | HERITAGE BIOLOGICS, LLC. | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 13747 MONTFORT DR STE 170 DALLAS, TX 75240 (816) 875-5101 | Non-Participating Provider | NO |
| 1679834147 | WAL-MART STORES TEXAS LLC WAL-MART PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2218 GREENVILLE AVE DALLAS, TX 75206 (972) 581-0430 | Non-Participating Provider | NO |
| 1679847636 | SERENITY INFUSION SUITES & COMPOUNDING RX | Organization | Pharmacy (Compounding Pharmacy) | 8625 KING GEORGE DR SUITE 300 DALLAS, TX 75235 (469) 263-4549 | Non-Participating Provider | NO |
| 1689318016 | ANI CHIBUZO ONOH | Individual | Pharmacy (Community/Retail Pharmacy) | 1060 W CAMP WISDOM RD DALLAS, TX 75232 (972) 228-6738 | Non-Participating Provider | NO |
| 1689982860 | SALUD PHARMACY #2 LLC SALUD PHARMACY #2 | Organization | Pharmacy | 912 W 12TH ST DALLAS, TX 75208 (214) 946-3886 | Non-Participating Provider | NO |
| 1699256826 | ARETE GROUP LLC ARETE SPECIALTY PHARMACY | Organization | Pharmacy | 1555 W MOCKINGBIRD LN STE 208 DALLAS, TX 75235 (214) 905-5100 | Non-Participating Provider | NO |
| 1699769299 | PAVILION PHARMACY | Organization | Pharmacy | 221 W COLORADO BLVD SUITE 445 DALLAS, TX 75208 (214) 947-2435 | Non-Participating Provider | NO |
| 1700017886 | CARECENTER PHARMACY LLC CVS PHARMACY # 02477 | Organization | Pharmacy | 208 S AKARD ST # PC08 DALLAS, TX 75202 (214) 741-4912 | Non-Participating Provider | NO |
| 1700270014 | SAM'S EAST, INC. SAM'S CLUB PHARMACY 10-6376 | Organization | Pharmacy (Community/Retail Pharmacy) | 4062 LBJ FREEWAY DALLAS, TX 75244 (972) 759-6492 | Non-Participating Provider | NO |
| 1700358389 | TITAN SPECIALTY PHARMACY TITIAN RX | Organization | Pharmacy (Community/Retail Pharmacy) | 8360 LBJ FWY STE 215 DALLAS, TX 75243 (214) 478-8564 | Non-Participating Provider | NO |
| 1700824166 | RLS SUPERMARKETS LLC MINYARD PHARMACY #97 | Organization | Pharmacy (Community/Retail Pharmacy) | 10203 E NORTHWEST HWY DALLAS, TX 75238 (214) 221-5007 | Non-Participating Provider | NO |
| 1700980505 | CVS PHARMACY INC CVS PHARMACY #07672 | Organization | Pharmacy | 3798 FOREST LN DALLAS, TX 75244 (214) 357-4667 | Non-Participating Provider | NO |
| 1710081559 | CVS PHARMACY INC CVS PHARMACY # 06970 | Organization | Pharmacy | 10666 E NORTHWEST HWY DALLAS, TX 75238 (214) 349-2530 | Non-Participating Provider | NO |
| 1710084215 | CVS PHARMACY INC CVS PHARMACY 07623 | Organization | Pharmacy | 4610 FRANKFORD RD DALLAS, TX 75287 (972) 732-6197 | Non-Participating Provider | NO |
| 1720005887 | SAMS EAST INC SAMS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5555 S BUCKNER BLVD DALLAS, TX 75228 (214) 321-9574 | Non-Participating Provider | NO |
| 1720020910 | CVS PHARMACY INC CVS PHARMACY #16011 | Organization | Pharmacy | 6464 E NORTHWEST HWY SUITE 212 DALLAS, TX 75214 (214) 360-4203 | Non-Participating Provider | NO |
| 1720262926 | PARC PLAZA PHARMACY INC US PHARMACY OF DALLAS | Organization | Pharmacy (Community/Retail Pharmacy) | 4801 S BUCKNER BLVD 100 DALLAS, TX 75227 (214) 228-6987 | Non-Participating Provider | NO |
| 1730101494 | CVS PHARMACY INC CVS PHARMACY #16312 | Organization | Pharmacy | 2417 N HASKELL AVE DALLAS, TX 75204 (214) 370-5558 | Non-Participating Provider | NO |
| 1730252354 | KROGER TEXAS L P KROGER PHARMACY #511 | Organization | Pharmacy (Community/Retail Pharmacy) | 10677 E NORTHWEST HWY DALLAS, TX 75238 (214) 553-0997 | Non-Participating Provider | NO |
| 1730283706 | FIESTA PHARMACY BUCKNER VILLAGE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2947 S BUCKNER BLVD STE 500 DALLAS, TX 75227 (214) 275-8066 | Non-Participating Provider | NO |
| 1730395906 | PALMER PHARMACY PLUS INC PALMER PHARMACY PLUS DME | Organization | Pharmacy (Community/Retail Pharmacy) | 2731 W NORTHWEST HIGHWAY SUITE 105 DALLAS, TX 75220 (214) 765-9238 | Non-Participating Provider | NO |
| 1730757931 | WELLRX PHARMACY INC | Organization | Pharmacy (Community/Retail Pharmacy) | 2930 S BUCKNER BLVD DALLAS, TX 75227 (469) 709-8231 | Non-Participating Provider | NO |
| 1740207927 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-2427 | Organization | Pharmacy (Community/Retail Pharmacy) | 9301 FOREST LN DALLAS, TX 75243 (972) 437-6858 | Non-Participating Provider | NO |
| 1740354273 | OAK CLIFF PHARMACY LLC OAK CLIFF PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3436 S POLK ST DALLAS, TX 75224 (214) 371-2815 | Non-Participating Provider | NO |
| 1740375377 | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS TEXAS HEALTH PRESCRIPTION SHOP | Organization | Pharmacy (Community/Retail Pharmacy) | 8200 WALNUT HILL LN GROUND LOBBY DALLAS, TX 75231 (214) 345-2595 | Non-Participating Provider | NO |
| 1740618891 | FAMILIA CARE INC MI DOCTOR PHARMACY #17 | Organization | Pharmacy (Clinic Pharmacy) | 4438 W JEFFERSON BLVD DALLAS, TX 75211 (972) 498-1925 | Non-Participating Provider | NO |
| 1740667898 | MAPLEWOOD PHARMACY MAPLEWOOD PHARMACY | Organization | Pharmacy | 2515 INWOOD RD STE 107 DALLAS, TX 75235 (844) 627-9663 | Non-Participating Provider | NO |
| 1740810852 | CHC CARE SPECIALTY PHARMACY AND CONSULTANTS LLC CHC PHARMACY | Organization | Pharmacy | 14211 COIT RD STE 1 DALLAS, TX 75254 (972) 807-2527 | Non-Participating Provider | NO |
| 1750396701 | WALGREEN CO WALGREENS #04705 | Organization | Pharmacy | 2060 S BUCKNER BLVD DALLAS, TX 75217 (214) 398-8754 | Non-Participating Provider | NO |
| 1750412656 | DALLAS COUNTY HOSPITAL DISTRICT DE HARO SALDIVAR HEALTH CENTER PHARMACY | Organization | Pharmacy (Clinic Pharmacy) | 1400 N WESTMORELAND RD DALLAS, TX 75211 (214) 266-0641 | Non-Participating Provider | NO |
| 1750522546 | WALGREEN CO WALGREENS #11514 | Organization | Pharmacy | 9807 WALNUT HILL LN DALLAS, TX 75238 (469) 341-3908 | Non-Participating Provider | NO |
| 1750971008 | CVS PHARMACY INC CVS PHARMACY # 11015 | Organization | Pharmacy | 18081 PRESTON RD DALLAS, TX 75252 (469) 749-3946 | Non-Participating Provider | NO |
| 1760497663 | WALGREEN CO WALGREENS #06660 | Organization | Pharmacy | 5742 E MOCKINGBIRD LN DALLAS, TX 75206 (214) 826-7136 | Non-Participating Provider | NO |
| 1760862825 | NEVILLE PHARMACY INFUSION SPECIALISTS | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 5442 LA SIERRA DR STE 200 DALLAS, TX 75231 (877) 778-9001 | Non-Participating Provider | NO |
| 1770002370 | SHARMA PEARL INC PEARL PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3920 W WHEATLAND RD STE 100 DALLAS, TX 75237 (972) 572-9006 | Non-Participating Provider | NO |
| 1770127821 | METHODIST COMMUNITY PHARMACY, LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 3500 W WHEATLAND RD STE B DALLAS, TX 75237 (214) 947-0250 | Non-Participating Provider | NO |
| 1770172413 | VICTOR MANUEL CERVANTES ARREGUIN | Individual | Pharmacy (Community/Retail Pharmacy) | 13260 JOSEY LN STE 100 DALLAS, TX 75234 (972) 247-3421 | Non-Participating Provider | NO |
| 1770231615 | FAMILY AND CHILD GUIDANCE CENTERS CHILD AND FAMILY RX | Organization | Pharmacy (Community/Retail Pharmacy) | 8915 HARRY HINES BLVD STE P DALLAS, TX 75235 (972) 548-9484 | Non-Participating Provider | NO |
| 1770881799 | PHARMACY EXPRESS LLC PHARMACY EXPRESS | Organization | Pharmacy (Community/Retail Pharmacy) | 4801 S BUCKNER BLVD SUITE 100 DALLAS, TX 75227 (214) 388-7397 | Non-Participating Provider | NO |
| 1770947798 | BAYLOR HEALTH ENTERPRISES LP BAYLOR SCOTT & WHITE PHARMACY #111 | Organization | Pharmacy (Community/Retail Pharmacy) | 3417 GASTON AVE STE 195 DALLAS, TX 75246 (214) 818-1611 | Non-Participating Provider | NO |
| 1780075986 | IBA MOLECULAR NORTH AMERICA, INC | Organization | Pharmacy (Nuclear Pharmacy) | 4447 BRASS WAY DALLAS, TX 75236 (214) 331-2268 | Non-Participating Provider | NO |
| 1780159715 | NORTH G RX LLC | Organization | Pharmacy | 9415 BRUTON RD STE 3104 DALLAS, TX 75217 (972) 338-4320 | Non-Participating Provider | NO |
| 1780784090 | HARRINGTON'S ACQUISITION, INC THE APOTHECARY SHOP | Organization | Pharmacy | 3434 SWISS AVE DALLAS, TX 75204 (214) 823-4520 | Non-Participating Provider | NO |
| 1780788505 | CVS PHARMACY INC CVS PHARMACY #03900 | Organization | Pharmacy | 14041 NOEL RD DALLAS, TX 75240 (972) 387-4006 | Non-Participating Provider | NO |
| 1780936674 | FAMILIA CARE INC | Organization | Pharmacy (Clinic Pharmacy) | 8112 SPRING VALLEY RD DALLAS, TX 75240 (214) 884-1705 | Non-Participating Provider | NO |
| 1790014124 | 340B PARTNERS PHARMACY - DALLAS LLC AVITA DRUGS | Organization | Pharmacy (Community/Retail Pharmacy) | 2924 OAK LAWN AVE DALLAS, TX 75219 (214) 780-0898 | Non-Participating Provider | NO |
| 1790052298 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-5931 | Organization | Pharmacy (Community/Retail Pharmacy) | 13739 N CENTRAL EXPY DALLAS, TX 75243 (972) 656-2821 | Non-Participating Provider | NO |
| 1790707453 | CVS PHARMACY INC. CVS PHARMACY # | Organization | Pharmacy (Community/Retail Pharmacy) | 6419 SKILLMAN ST DALLAS, TX 75231 (214) 343-7418 | Non-Participating Provider | NO |
| 1790842144 | PHARMACIA HENRIQUE PHARMACIA HENRIQUE | Organization | Pharmacy (Community/Retail Pharmacy) | 2406 EMMETT ST STE 100 DALLAS, TX 75211 (469) 776-8169 | Non-Participating Provider | NO |
| 1801222989 | HEALTHSCRIPTS OF AMERICA - DALLAS, LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 4343 SIGMA RD STE 400 DALLAS, TX 75244 (832) 494-3210 | Non-Participating Provider | NO |
| 1801377528 | TEXAS NEUROLOGY, P.A. TEXAS NEUROLOGY PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 6080 N CENTRAL EXPY STE 100 DALLAS, TX 75206 (214) 279-0336 | Non-Participating Provider | NO |
| 1801965991 | DALLAS COUNTY HOSPITAL DISTRICT OUTPATIENT CLINIC PHARMACY | Organization | Pharmacy (Clinic Pharmacy) | 5201 HARRY HINES BLVD DALLAS, TX 75235 (214) 590-6329 | Non-Participating Provider | NO |
| 1801993308 | CVS PHARMACY INC CVS PHARMACY # 07747 | Organization | Pharmacy | 6709 PRESTON RD DALLAS, TX 75205 (214) 521-4085 | Non-Participating Provider | NO |
| 1811323447 | COR PHARMA, LLC | Organization | Pharmacy | 5710 LBJ FWY # 140 DALLAS, TX 75240 (877) 207-3858 | Non-Participating Provider | NO |
| 1811404114 | AIDS HEALTHCARE FOUNDATION AHF PHARMACY | Organization | Pharmacy | 7777 FOREST LN STE B-A80 DALLAS, TX 75230 (972) 383-1070 | Non-Participating Provider | NO |
| 1811918873 | PHARMED LP FAMILY CARE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2959 S BUCKNER BLVD STE 700 DALLAS, TX 75227 (469) 916-0190 | Non-Participating Provider | NO |
| 1821003856 | WALGREEN CO WALGREENS #03879 | Organization | Pharmacy | 3732 W NORTHWEST HWY DALLAS, TX 75220 (214) 956-0113 | Non-Participating Provider | NO |
| 1821175712 | MINYARD FOOD STORES INC. MINYARD PHARMACY #35 | Organization | Pharmacy (Community/Retail Pharmacy) | 2550 GUS THOMASSON RD DALLAS, TX 75228 (214) 321-3537 | Non-Participating Provider | NO |
| 1821185026 | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER DALLAS MENTAL HEALTH CLINIC | Organization | Pharmacy (Clinic Pharmacy) | 4645 SAMUELL BLVD STE 107 DALLAS, TX 75228 (214) 275-7393 | Non-Participating Provider | NO |
| 1821426974 | FAMILIA CARE INC MI DOCTOR ABRAMS | Organization | Pharmacy (Clinic Pharmacy) | 6751 ABRAMS RD SUITE 108 DALLAS, TX 75231 (214) 466-6376 | Non-Participating Provider | NO |
| 1831116946 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-3341 | Organization | Pharmacy (Community/Retail Pharmacy) | 2305 N CENTRAL EXPY DALLAS, TX 75204 (214) 953-0165 | Non-Participating Provider | NO |
| 1831338268 | HMS RX PHARMACY SINA RX PHARMACY III | Organization | Pharmacy (Community/Retail Pharmacy) | 3434 W ILLINOIS AVE DALLAS, TX 75211 (214) 330-5700 | Non-Participating Provider | NO |
| 1831592393 | FOREST DRUG STORE LLC | Organization | Pharmacy (Clinic Pharmacy) | 9550 FOREST LN SUITE 606 DALLAS, TX 75243 (469) 804-7929 | Non-Participating Provider | NO |
| 1831735992 | WP PHARMA LABS, INC. | Organization | Pharmacy (Compounding Pharmacy) | 4001 MCEWEN RD STE 110 DALLAS, TX 75244 (469) 722-4500 | Non-Participating Provider | NO |
| 1831825959 | IVEDCO, LLC | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 10105 TECHNOLOGY BLVD W STE 102 DALLAS, TX 75220 (800) 435-3020 | Non-Participating Provider | NO |
| 1841217957 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-2667 | Organization | Pharmacy (Community/Retail Pharmacy) | 7401 SAMUELL BLVD DALLAS, TX 75228 (214) 319-0857 | Non-Participating Provider | NO |
| 1841376761 | ANJANA PHARMACY LLC CASH SAVER PHARMACY 19 | Organization | Pharmacy (Community/Retail Pharmacy) | 2130 E LEDBETTER DR DALLAS, TX 75216 (214) 374-3559 | Non-Participating Provider | NO |
| 1841397346 | CVS PHARMACY INC CVS PHARMACY #05894 | Organization | Pharmacy | 13033 COIT RD DALLAS, TX 75240 (972) 392-9634 | Non-Participating Provider | NO |
| 1841583192 | INDUNA INVESTMENTS INTERNATIONAL INC CAMPBELL PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 6090 CAMPBELL RD STE 100 DALLAS, TX 75248 (469) 248-1000 | Non-Participating Provider | NO |
| 1841588399 | WALGREEN CO COMMUNITY, A WALGREENS PHARMACY #21375 | Organization | Pharmacy | 3910 GASTON AVE STE 125 DALLAS, TX 75246 (214) 941-4398 | Non-Participating Provider | NO |
| 1841824133 | RITE QUALITY HEALTH INC RITE QUALITY PHARMACY #2 | Organization | Pharmacy (Community/Retail Pharmacy) | 18900 DALLAS PKWY STE 106 DALLAS, TX 75287 (704) 222-2872 | Non-Participating Provider | NO |
| 1851385504 | DALLAS COUNTY HOSPITAL DISTRICT BLUITT-FLOWERS HEALTH CENTER | Organization | Pharmacy | 303 E OVERTON RD DALLAS, TX 75216 (469) 419-1976 | Non-Participating Provider | NO |
| 1851610802 | TRILOGY PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2603 OAK LAWN AVE DALLAS, TX 75219 (469) 248-7445 | Non-Participating Provider | NO |
| 1851694384 | MARKS PHARMACY INCORPORATED M & M PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8150 BROOKRIVER DR STE 107 DALLAS, TX 75247 (469) 547-2419 | Non-Participating Provider | NO |
| 1851838387 | PATMOS CONSULTING LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 5445 LA SIERRA DR STE 202 DALLAS, TX 75231 (469) 267-7762 | Non-Participating Provider | NO |
| 1851974794 | MAIN STREET PHARMACY, L.L.C. CVS PHARMACY # 48589 | Organization | Pharmacy | 8000 FRANKFORD RD STE A DALLAS, TX 75252 (214) 459-8873 | Non-Participating Provider | NO |
| 1861405540 | PRESTON ROAD APOTHECARY INC PRESTON ROAD APOTHECARY INC | Organization | Pharmacy (Community/Retail Pharmacy) | 9301 N CENTRAL EXPY STE 110 DALLAS, TX 75231 (214) 361-6172 | Non-Participating Provider | NO |
| 1861430951 | ALBERTSONS LLC SAVON PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 11170 N CENTRAL EXPY DALLAS, TX 75243 (214) 363-2498 | Non-Participating Provider | NO |
| 1861573008 | BAYOS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2100 W COLORADO BLVD DALLAS, TX 75211 (214) 943-4631 | Non-Participating Provider | NO |
| 1861731382 | PINNACLE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5710 LBJ FREEWAY SUITE 185 DALLAS, TX 75240 (877) 212-8628 | Non-Participating Provider | NO |
| 1861765240 | WALGREEN CO WALGREENS # 15318 | Organization | Pharmacy | 3826 CEDAR SPRINGS RD DALLAS, TX 75219 (214) 522-4006 | Non-Participating Provider | NO |
| 1861785370 | PLAZA APOTHECARY PLLC RENUE RX #3 | Organization | Pharmacy | 600 N PEARL STREET, STE H201 DALLAS, TX 75201 (214) 855-0606 | Non-Participating Provider | NO |
| 1861792160 | HAYES PHARMACY INC PHARMDOC | Organization | Pharmacy (Community/Retail Pharmacy) | 5701 MAPLE AVE SUITE 100-B DALLAS, TX 75235 (214) 654-4918 | Non-Participating Provider | NO |
| 1861818007 | FC PHARMACY LLC FIRST CHOICE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 6029 BELT LINE RD STE 110 DALLAS, TX 75254 (214) 888-6976 | Non-Participating Provider | NO |
| 1871925982 | LEW STERRETT JUSTICE CENTER PHARMACY | Organization | Pharmacy | 113 W COMMERCE DALLAS, TX 75202 (214) 875-2460 | Non-Participating Provider | NO |
| 1881798601 | CVS PHARMACY INC CVS PHARMACY# 04985 | Organization | Pharmacy | 8335 WESTCHESTER DR STE 140 DALLAS, TX 75225 (214) 361-7110 | Non-Participating Provider | NO |
| 1881830602 | CHILDREN'S HEALTH CLINICAL OPERATIONS FIRST PHARMACY PAVILION | Organization | Pharmacy (Community/Retail Pharmacy) | 2350 N STEMMONS FWY F1510 DALLAS, TX 75207 (214) 456-0641 | Non-Participating Provider | NO |
| 1891047700 | FAMILIA CARE INC | Organization | Pharmacy (Clinic Pharmacy) | 9753 WEBB CHAPEL RD STE 900 DALLAS, TX 75220 (214) 622-6048 | Non-Participating Provider | NO |
| 1891072179 | HAMPTON ALLIED PHARMACY INC HAMPTON ALLIED PHARMACY INC | Organization | Pharmacy (Community/Retail Pharmacy) | 3030 LBJ FWY STE 880 DALLAS, TX 75234 (214) 330-7700 | Non-Participating Provider | NO |
| 1891934899 | SHAPA INC RITE CARE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9415 BRUTON RD STE 3103 DALLAS, TX 75217 (214) 421-2210 | Non-Participating Provider | NO |
| 1902475981 | GENOA HEALTHCARE LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 3500 OAK LAWN AVE STE 600P DALLAS, TX 75219 (253) 218-0830 | Non-Participating Provider | NO |
| 1902811938 | WALGREEN CO WALGREENS #03957 | Organization | Pharmacy | 5101 S LANCASTER RD DALLAS, TX 75241 (214) 375-7103 | Non-Participating Provider | NO |
| 1902825912 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-5021 | Organization | Pharmacy (Community/Retail Pharmacy) | 2275 GUS THOMASSON RD DALLAS, TX 75228 (214) 660-9729 | Non-Participating Provider | NO |
| 1902827967 | RAZI RX INC SINA RX PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 8060 SPRING VALLEY RD DALLAS, TX 75240 (214) 570-1610 | Non-Participating Provider | NO |
| 1902828262 | ONCOLOGY PHARMACY SERVICES, INC TEXAS ONCOLOGY PHARMACY SAMMONS | Organization | Pharmacy (Community/Retail Pharmacy) | 3410 WORTH ST SUITE 350 DALLAS, TX 75246 (214) 370-1600 | Non-Participating Provider | NO |
| 1912094111 | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER LANCASTER ADULT OP DCMHMR | Organization | Pharmacy (Clinic Pharmacy) | 3330 S LANCASTER RD DALLAS, TX 75216 (214) 371-6639 | Non-Participating Provider | NO |
| 1912199969 | CVS PHARMACY, INC. CVS PHARMACY #05314 | Organization | Pharmacy | 1411 MAIN STREET DALLAS, TX 75202 (214) 749-4092 | Non-Participating Provider | NO |
| 1912227703 | PRIME THERAPEUTICS SPECIALTY PRIME LLC ALLIANCERX WALGREENS PRIME #4582-2 | Organization | Pharmacy (Mail Order Pharmacy) | 8600 HARRY HINES BLVD STE 100 DALLAS, TX 75235 (888) 282-4801 | Non-Participating Provider | NO |
| 1912637539 | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | Organization | Pharmacy (Community/Retail Pharmacy) | 3450 W CAMP WISDOM RD STE 1.510 DALLAS, TX 75237 (469) 372-6101 | Non-Participating Provider | NO |
| 1922013085 | WALGREEN CO WALGREENS #07839 | Organization | Pharmacy | 3802 CEDAR SPRINGS RD DALLAS, TX 75219 (214) 443-5160 | Non-Participating Provider | NO |
| 1922025071 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-5147 | Organization | Pharmacy (Community/Retail Pharmacy) | 1521 N COCKRELL HILL RD DALLAS, TX 75211 (214) 337-8092 | Non-Participating Provider | NO |
| 1922034362 | H & N PHARMACY INC EASY CARE FAMILY PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 7310 S WESTMORELAND RD DALLAS, TX 75237 (972) 709-3594 | Non-Participating Provider | NO |
| 1922046341 | ALBERTSONS LLC SAVON PHARMACY #4105 | Organization | Pharmacy (Community/Retail Pharmacy) | 4625 FRANKFORD RD DALLAS, TX 75287 (972) 732-6863 | Non-Participating Provider | NO |
| 1922069525 | IVEDCO, LLC KABAFUSION TX | Organization | Pharmacy | 4950 WESTGROVE DR DALLAS, TX 75248 (800) 333-0660 | Non-Participating Provider | NO |
| 1922105329 | CVS PHARMACY INC CVS PHARMACY #06824 | Organization | Pharmacy | 8024 WALNUT HILL LN DALLAS, TX 75231 (214) 368-3050 | Non-Participating Provider | NO |
| 1932116852 | WALGREEN CO WALGREENS #05826 | Organization | Pharmacy | 7930 BELT LINE RD DALLAS, TX 75254 (972) 716-0937 | Non-Participating Provider | NO |
| 1932126067 | SAMS EAST INC SAMS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9461 WEBB CHAPEL RD DALLAS, TX 75220 (214) 530-5451 | Non-Participating Provider | NO |
| 1932230836 | DALLAS COUNTY HOSPITAL DISTRICT BLUITT FLOWERS HEALTH CENTER | Organization | Pharmacy (Clinic Pharmacy) | 303 E OVERTON RD DALLAS, TX 75216 (214) 266-4294 | Non-Participating Provider | NO |
| 1932459666 | PROVIDENCE DRUGS LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 8877 HARRY HINES BLVD DALLAS, TX 75235 (214) 353-7202 | Non-Participating Provider | NO |
| 1932478112 | MEDFRONT LLC MEDFONT PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4041 W WHEATLAND RD STE 204 DALLAS, TX 75237 (972) 709-2190 | Non-Participating Provider | NO |
| 1932676301 | NUGENEREX PTX1 | Organization | Pharmacy (Community/Retail Pharmacy) | 2301 S HAMPTON RD STE 850 DALLAS, TX 75224 (972) 587-9193 | Non-Participating Provider | NO |
| 1942227079 | SAMS EAST INC SAMS PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 4062 LBJ FWY DALLAS, TX 75244 (972) 759-6492 | Non-Participating Provider | NO |
| 1942247499 | ALBERTSONS LLC ALBERTSONS SAVON PHARMACY | Organization | Pharmacy | 9509 CLARK RD DALLAS, TX 75249 (972) 296-0263 | Non-Participating Provider | NO |
| 1942294632 | DALLAS COUNTY HOSPITAL DISTRICT ANDERSON CLINIC PHARMACY | Organization | Pharmacy | 5184 TEX OAK AVE STE. 01.711 DALLAS, TX 75235 (214) 590-2870 | Non-Participating Provider | NO |
| 1942640412 | WAL-MART STORES TEXAS LLC WAL-MART PHARMACY 10-3014 | Organization | Pharmacy (Community/Retail Pharmacy) | 200 SHORT BLVD DALLAS, TX 75232 (972) 232-6407 | Non-Participating Provider | NO |
| 1942748645 | PATMOS CONSULTING LLC DEVONSHIRE PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 5445 LA SIERRA DR STE 202 DALLAS, TX 75231 (214) 812-9399 | Non-Participating Provider | NO |
| 1942824933 | EHP TEXAS LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 2801 LEMMON AVE STE 100 DALLAS, TX 75204 (469) 749-7824 | Non-Participating Provider | NO |
| 1952316937 | WALGREEN CO WALGREENS #05162 | Organization | Pharmacy | 8310 ABRAMS RD DALLAS, TX 75243 (214) 503-6286 | Non-Participating Provider | NO |
| 1952474470 | KROGER TEXAS L P KROGER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 9140 FOREST LN DALLAS, TX 75243 (214) 221-0978 | Non-Participating Provider | NO |
| 1952488751 | MINYARD FOOD STORES INC. MINYARD PHARMACY #5001 | Organization | Pharmacy (Community/Retail Pharmacy) | 7777 FOREST LN STE A-80 DALLAS, TX 75230 (972) 566-5888 | Non-Participating Provider | NO |
| 1952677924 | SERENITY INFUSION SUITES & COMPOUNDING RX, LLC | Organization | Pharmacy (Home Infusion Therapy Pharmacy) | 8625 KING GEORGE DR SUITE 300 DALLAS, TX 75235 (469) 263-4549 | Non-Participating Provider | NO |
| 1952725665 | WAL-MART STORES TEXAS LLC WALMART PHARMACY 10-5810 | Organization | Pharmacy (Community/Retail Pharmacy) | 7075 W WHEATLAND RD DALLAS, TX 75249 (469) 608-6223 | Non-Participating Provider | NO |
| 1962423939 | YONG W JEONG PHARMACARE DRUG | Organization | Pharmacy (Community/Retail Pharmacy) | 2552 ROYAL LN DALLAS, TX 75229 (972) 247-5670 | Non-Participating Provider | NO |
| 1962449421 | ALBERTSONS LLC SAVON PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 320 CASA LINDA PLZ DALLAS, TX 75218 (214) 319-8221 | Non-Participating Provider | NO |
| 1962784900 | 340B PARTNERS PHARMACY - DALLAS LLC AVITA DRUGS | Organization | Pharmacy (Community/Retail Pharmacy) | 750 FORT WORTH AVE STE H100 DALLAS, TX 75208 (972) 805-5960 | Non-Participating Provider | NO |
| 1972016541 | ONESOURCE SPECIALTY MEDICINE LLC ONESOURCE SPECIALTY MEDICINE | Organization | Pharmacy (Community/Retail Pharmacy) | 8989 FOREST LN STE 138 DALLAS, TX 75243 (469) 547-1441 | Non-Participating Provider | NO |
| 1972026441 | DHD PHARMACY, LLC DHD PHARMACY, LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 7220 S WESTMORELAND RD STE 106 DALLAS, TX 75237 (214) 377-9217 | Non-Participating Provider | NO |
| 1972083772 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #3296 | Organization | Pharmacy (Community/Retail Pharmacy) | 2380 N FIELD ST DALLAS, TX 75201 (972) 454-5050 | Non-Participating Provider | NO |
| 1972532943 | RANDALLS FOOD & DRUGS LP TOM THUMB PHARMACY #2642 | Organization | Pharmacy (Community/Retail Pharmacy) | 5809 E LOVERS LN DALLAS, TX 75206 (214) 750-3210 | Non-Participating Provider | NO |
| 1972646032 | HIGHLAND PARK PHARMACY INC HIGHLAND PARK PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 3229 KNOX ST DALLAS, TX 75205 (214) 521-2126 | Non-Participating Provider | NO |
| 1972800167 | ENVOYRX LLC ENVOYRX LLC | Organization | Pharmacy (Specialty Pharmacy) | 2929 CARLISLE ST SUITE 115 DALLAS, TX 75204 (214) 954-7389 | Non-Participating Provider | NO |
| 1982104378 | POWERHOUSE PHARMACY RX LLC | Organization | Pharmacy (Community/Retail Pharmacy) | 4740 W MOCKINGBIRD LN STE 100B DALLAS, TX 75209 (214) 350-2900 | Non-Participating Provider | NO |
| 1982364501 | ADVANCECARE TEXAS, INC. ADVANCECARE DALLAS | Organization | Pharmacy (Community/Retail Pharmacy) | 3818 CEDAR SPRINGS RD STE 104 DALLAS, TX 75219 (214) 624-9872 | Non-Participating Provider | NO |
| 1982615571 | CUT-RATE PHARMACY CUT RATE | Organization | Pharmacy (Community/Retail Pharmacy) | 3528 N HAMPTON RD DALLAS, TX 75212 (214) 630-3014 | Non-Participating Provider | NO |
| 1982626644 | CVS PHARMACY INC. CVS PHARMACY # | Organization | Pharmacy (Community/Retail Pharmacy) | 16731 COIT RD DALLAS, TX 75248 (214) 775-0207 | Non-Participating Provider | NO |
| 1982698569 | DALLAS COUNTY HOSPITAL DISTRICT PARKLAND OUTPATIENT PHARMACY 1ST FLOOR | Organization | Pharmacy | 5200-5201 HARRY HINES BLVD DALLAS, TX 75235 (469) 419-1976 | Non-Participating Provider | NO |
| 1982920419 | FIVE STAR PHARMACY SERVICES LLC | Organization | Pharmacy (Long Term Care Pharmacy) | 14800 LANDMARK BLVD SUITE 250 DALLAS, TX 75254 (214) 237-4510 | Non-Participating Provider | NO |
| 1982947057 | LONGHORN PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 2301 S HAMPTON RD SUITE 850 DALLAS, TX 75224 (817) 919-1609 | Non-Participating Provider | NO |
| 1992802490 | CVS PHARMACY INC CVS PHARMACY # 07742 | Organization | Pharmacy | 5659 LEMMON AVE DALLAS, TX 75209 (214) 252-0121 | Non-Participating Provider | NO |
| 1992867949 | GROVE MEDICAL CENTER PHARMACY | Organization | Pharmacy (Community/Retail Pharmacy) | 1143 S BUCKNER BLVD DALLAS, TX 75217 (214) 391-2414 | Non-Participating Provider | NO |