Organization
METHODIST CHILDREN'S HOSPITAL
Active
Parent organization
METHODIST CHILDREN'S HOSPITAL
Other names
Covenant Home Infusion
Organization subpart
Yes
Provider details
NPI number
Legal business name
METHODIST CHILDREN'S HOSPITAL
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
7509 MARSHA SHARP FWY STE 101, LUBBOCK, TX 79407-8202
(806) 725-6327
(806) 725-4942
Mailing address
7509 MARSHA SHARP FWY STE 101, LUBBOCK, TX 79407-8202
(806) 725-6327
(806) 725-4942
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
31555
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112816701
—
TX
01
—
2104505
PK
—
Enumeration date
10/19/2005
Last updated
04/01/2026
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