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General NPI Number Information
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NPI Number | 1477061711
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Entity Type | Organization
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Legal Business Name | MEMORIAL HERMANN PHARMACY SERVICES LLC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 27700 NORTHWEST FWY STE 150
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City | CYPRESS
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State | TX
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Zip | 77433-6767
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Country | US
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Telephone | 346-231-6971
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Fax |
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Provider Business Mailing Address
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Address Line | 27700 NORTHWEST FWY STE 150
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City | CYPRESS
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State | TX
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Zip | 77433-6767
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP- RISK MGMT. & LITIGATION
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Name | CHARMAINE A FERGUSON
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Credential |
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Telephone | 713-242-4456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31788
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License Number State | TX
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