Organization
MEMORIAL HERMANN PHARMACY SERVICES, LLC
Active
Other names
Memorial Hermann Home Health Pharmacy
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 210, KATY, TX 77449
(281) 698-6175
(281) 698-6147
Mailing address
21501 PARK ROW DR STE 210, KATY, TX 77449-2425
(281) 698-6175
(281) 698-6147
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
31860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176353
PK
—
Enumeration date
02/02/2018
Last updated
11/29/2021
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