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Organization

MEMORIAL HERMANN PHARMACY SERVICES LLC

Active
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
27700 NORTHWEST FWY STE 150, CYPRESS, TX 77433-6767
(346) 231-6971
Mailing address
27700 NORTHWEST FWY STE 150, CYPRESS, TX 77433-6767

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31788
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31788
TEXAS BOARD OF PHARMACY
TX
Enumeration date
01/22/2018
Last updated
11/29/2021
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