Organization · Type 2 NPI

Mission Hospital Inc

Community/Retail Pharmacy · Mission, TX

NPI number 1669005740 Active

Practice location

900 S Bryan Rd
Mission, TX 78572-6613

Fax (956) 323-9102

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

43 other providers at this address

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NPI record

NPI: 1669005740
Entity type: Organization (Type 2)
Issued: Feb 18, 2020
Last updated: Feb 18, 2020
Status: Active
Subpart: Yes of Mission Hospital Inc

Other names

Mission Regional Outpatient Pharmacy · doing business as

Authorized official

Lester Edward Surrock, CPA
Chief Financial Officer
(956) 323-9106

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669005740

Mission Hospital Inc's National Provider Identifier is 1669005740, issued on Feb 18, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mission, TX. The record was last updated on Feb 18, 2020.