# TEXAS CHILDREN'S HOSPTIAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TEXAS CHILDREN'S HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891971222
- **Legal business name:** TEXAS CHILDREN'S HOSPITAL
- **Authorized official:** WELDON GAGE (EXECUTIVE VP, CFO)
- **Authorized official phone:** (832) 824-1000

## Contact information

- **Practice address:** 6621 FANNIN ST STE WB1120, HOUSTON, TX 77030-2369
- **Practice address phone:** (832) 824-1000
- **Practice address fax:** (832) 825-5261
- **Mailing address:** 6621 FANNIN ST STE WB1120, HOUSTON, TX 77030-2369
- **Mailing address phone:** (832) 824-1000
- **Mailing address fax:** (832) 825-5261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 000117 | TX | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 12/10/2021

## 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 |