Organization
MIDLAND MEMORIAL OUTPATIENT PHARMACY
Active
Organization
MIDLAND MEMORIAL OUTPATIENT PHARMACY
Active
Other names
MMH OP Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BOWERMAN (CEO)
(432) 221-4877
Entity
Organization
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-6499
(432) 571-4070
(432) 571-4071
Mailing address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-6499
(432) 571-4070
(432) 571-4071
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4534776
NCPDP
TX
Enumeration date
04/23/2008
Last updated
05/01/2026
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