Organization
HENDRICK MEDICAL CENTER
Active
Other names
Hendrick Medical Center Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY TYLER WALKER (CFO)
(325) 670-2182
Entity
Organization
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-3068
(325) 670-3448
Mailing address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-3068
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138644310
—
TX
Enumeration date
03/10/2021
Last updated
12/22/2025
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