# UNIV OF TEXAS MD ANDERSON CANCER CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIV OF TEXAS MD ANDERSON CANCER CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457671042
- **Authorized official:** JOEL LAJEUNESSE RPH (VP PHARMACY)
- **Authorized official phone:** (713) 792-2753

## Contact information

- **Practice address:** 1515 HOLCOMBE BLVD, UNIT 90, HOUSTON, TX 77030-4000
- **Practice address phone:** (713) 792-6125
- **Practice address fax:** (713) 794-1616
- **Mailing address:** PO BOX 4727, HOUSTON, TX 77210-4727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 06026 | TX | Yes |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 06/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112672402 | — | TX |
| 01 | — | 4541480 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
