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General NPI Number Information
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NPI Number | 1568866234
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Entity Type | Organization
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Legal Business Name | TEXAS CHILDREN'S HOSPITAL PHARMACY-SOUTHWEST
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 9700 BISSONNET ST STE 1000W
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City | HOUSTON
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State | TX
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Zip | 77036-8001
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Country | US
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Telephone | 346-232-4960
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 BISSONNET ST STE 1000W
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City | HOUSTON
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State | TX
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Zip | 77036-8001
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Country | US
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Telephone | 346-232-4960
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | OLAYEMI ABUDU
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Credential | PHARMD., MBA-HC
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Telephone | 832-824-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 29572
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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