Organization
MEMORIAL HERMANN MEDICAL GROUP
Active
Parent organization
MEMORIAL HERMANN MEDICAL GROUP
Other names
SOUTH TEXAS PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HERMANN MEDICAL GROUP
Authorized official
MR. WILLIAM PERRY FLOWERS R.PH., M.S. (SYSTEM EXECUTIVE PT CARE SUPPORT)
(979) 532-1700
Entity
Organization
Contact information
Practice address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-4910
(979) 532-6786
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-4910
(979) 532-6786
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142995
—
TX
01
—
4573158
NABP
—
Enumeration date
02/12/2007
Last updated
10/06/2012
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