Organization
MEMORIAL HERMANN PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE A FERGUSON (VP RISK MGMT. & LITIGATION)
(713) 242-4456
Entity
Organization
Contact information
Practice address
21501 PARK ROW DR STE 200, KATY, TX 77449-2425
(281) 698-6100
(281) 698-6115
Mailing address
21501 PARK ROW DR STE 200, KATY, TX 77449-2425
(281) 698-6100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
31545
TX
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31545
TX PHARMACY LICENSE
TX
Enumeration date
08/25/2017
Last updated
03/26/2025
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