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Organization
WESTSIDE SURGICAL HOSPITAL, LLC
Active
Organization
WESTSIDE SURGICAL HOSPITAL, LLC
Active
Other names
WESTSIDE SURGICAL HOSPITAL, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW OKORO (DIRECTOR OF PHARMACY)
(832) 865-0795
Entity
Organization
Contact information
Practice address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(832) 865-0795
(281) 964-2149
Mailing address
4200 TWELVE OAKS DR, HOUSTON, TX 77027-6812
(832) 865-0795
(281) 964-2195
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
28383
TX
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166699
PK
—
Enumeration date
12/13/2016
Last updated
12/13/2016
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