| Organization Name: | SCOTT & WHITE PEDIATRIC PHARMACY |
| NPI Number: | 1023196219 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEGGY GOODNIGHT (PHARMACIST-IN-CHARGE) |
| Mailing Address: | 1901 Sw H.k. Dodgen Loop Building 300 Temple |
| State: | TX US |
| Postal Code: | 76502 |
| Phone Number: | 2549354888 |
| Fax Number: | 2549354811 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC2000X |
| License Number: | 17503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Children |
| Taxonomy Definition: | |