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Organization
FONDREN PHARMACY
Active
Organization
FONDREN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORANDA LATONYA HELLEN RPH (PHARMACIST)
(713) 773-1477
Entity
Organization
Contact information
Practice address
9600 FONDREN RD STE B3, HOUSTON, TX 77096-3682
(713) 773-1477
(713) 773-1211
Mailing address
9600 FONDREN RD STE B3, HOUSTON, TX 77096-3682
(713) 773-1477
(713) 773-1211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145266
—
TX
Enumeration date
03/26/2007
Last updated
08/22/2020
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