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Organization
TEXAS CHILDREN'S HOSPTIAL PHARMACY
Active
Organization
TEXAS CHILDREN'S HOSPTIAL PHARMACY
Active
Parent organization
TEXAS CHILDREN'S HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS CHILDREN'S HOSPITAL
Authorized official
WELDON GAGE (EXECUTIVE VP, CFO)
(832) 824-1000
Entity
Organization
Contact information
Practice address
6621 FANNIN ST STE WB1120, HOUSTON, TX 77030-2369
(832) 824-1000
(832) 825-5261
Mailing address
6621 FANNIN ST STE WB1120, HOUSTON, TX 77030-2369
(832) 824-1000
(832) 825-5261
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
000117
TX
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250304
—
TX
05
—
251034
—
TX
01
—
452333
MEDICARE
TX
01
—
453304
MEDICARE
TX
01
—
HH0222
BCBS
TX
Enumeration date
01/16/2008
Last updated
12/10/2021
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