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Contact Information

MEDICAL CNTR HOSP PHCY
400 W 4TH ST
STE 101
ODESSA, TX79761-5045
 Phone: 432-640-1353
 Fax: 432-640-1465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEDICAL CNTR HOSP PHCY

NPI Number 1639192503
LBN Legal business name MEDICAL CNTR HOSP PHCY
Authorized official WILLIAM WEBSTER - (ADMIN CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 08/22/2016 - About 10 years ago
Identifiers
TX License # 18811
Other 2090552 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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