# MEDICAL CNTR HOSP PHCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAL CENTER HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639192503
- **Authorized official:** WILLIAM WEBSTER RPH (ADMIN CEO)
- **Authorized official phone:** (432) 640-1353

## Contact information

- **Practice address:** 400 W 4TH ST, STE 101, ODESSA, TX 79761-5045
- **Practice address phone:** (432) 640-1353
- **Practice address fax:** (432) 640-1465
- **Mailing address:** 400 W 4TH ST, STE 101, ODESSA, TX 79761-5045
- **Mailing address phone:** (432) 640-1353
- **Mailing address fax:** (432) 640-1465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 18811 | TX | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2090552 | PK | — |