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Organization
MEDICAL CNTR HOSP PHCY
Active
Organization
MEDICAL CNTR HOSP PHCY
Active
Other names
MEDICAL CENTER HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WEBSTER RPH (ADMIN CEO)
(432) 640-1353
Entity
Organization
Contact information
Practice address
400 W 4TH ST, STE 101, ODESSA, TX 79761-5045
(432) 640-1353
(432) 640-1465
Mailing address
400 W 4TH ST, STE 101, ODESSA, TX 79761-5045
(432) 640-1353
(432) 640-1465
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
18811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090552
PK
—
Enumeration date
07/25/2006
Last updated
08/22/2016
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