Organization
MEMORIAL HOSPITAL
Active
Other names
MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHAEFER (PHARMACY DIRECTOR)
(936) 568-8415
Entity
Organization
Contact information
Practice address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 569-4657
(936) 569-4689
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 569-4657
(936) 569-4689
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
3104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2097683
PK
—
05
—
250249
—
TX
Enumeration date
07/19/2006
Last updated
01/14/2015
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