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Organization
HEALTH WISE PHARMACY LLC
Active
Organization
HEALTH WISE PHARMACY LLC
Active
Other names
Health Wise Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VERNITA DAVIS (OWNER)
(346) 350-5243
Entity
Organization
Contact information
Practice address
4639 S MAIN ST, STAFFORD, TX 77477-4726
(346) 350-5243
(346) 520-5420
Mailing address
4639 S MAIN ST, STAFFORD, TX 77477-4726
(346) 350-5243
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150611
—
TX
Enumeration date
05/03/2023
Last updated
05/19/2023
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