Organization
TEXAS COUNTY MEMORIAL HOSPITAL
Active
Other names
HUTCHESON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY MURRAY (CEO)
(417) 967-3311
Entity
Organization
Contact information
Practice address
1422 S SAM HOUSTON BLVD STE 100, HOUSTON, MO 65483
(417) 967-4139
(417) 967-4130
Mailing address
1422 S SAM HOUSTON BLVD STE 100, HOUSTON, MO 65483-2130
(417) 967-4139
(417) 967-4130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2012026256
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136307
PK
—
01
—
2614700
NCPDP
MO
05
—
600059109
—
MO
Enumeration date
12/26/2006
Last updated
11/22/2019
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