Organization
MEDICAL CNTR HOSP PHCY
Active
Other names
MEDICAL CENTER HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WEBSTER RPH (ADMIN CEO)
(432) 640-1353
Entity
Organization
Contact information
Practice address
400 W 4TH ST, STE 101, ODESSA, TX 79761-5045
(432) 640-1353
(432) 640-1465
Mailing address
400 W 4TH ST, STE 101, ODESSA, TX 79761-5045
(432) 640-1353
(432) 640-1465
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
18811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090552
PK
—
Enumeration date
07/25/2006
Last updated
08/22/2016
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