Organization
UNIV OF TEXAS MD ANDERSON CANCER CENTER
Active
Other names
UNIV OF TEXAS MD ANDERSON CANCER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL LAJEUNESSE RPH (VP PHARMACY)
(713) 792-2753
Entity
Organization
Contact information
Practice address
1515 HOLCOMBE BLVD, UNIT 90, HOUSTON, TX 77030-4000
(713) 792-6125
(713) 794-1616
Mailing address
PO BOX 4727, HOUSTON, TX 77210-4727
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
06026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112672402
—
TX
01
—
4541480
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/04/2010
Last updated
06/04/2010
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