Organization
THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
Active
Other names
SOUTHWEST CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE YOUNG (CEO)
(713) 970-3385
Entity
Organization
Contact information
Practice address
9401 SOUTHWEST FWY STE 101, HOUSTON, TX 77074-1407
(713) 970-7635
(713) 970-3310
Mailing address
9401 SOUTHWEST FWY STE 101, HOUSTON, TX 77074-1407
(713) 970-7635
(713) 970-3390
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
11556
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099575
PK
—
Enumeration date
08/02/2006
Last updated
07/25/2024
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