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Organization
VIETNAM PHARMACY
Active
Organization
VIETNAM PHARMACY
Active
Other names
VIETNAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THUY LE (PIC)
(715) 520-0205
Entity
Organization
Contact information
Practice address
2621 MILAM ST STE C, SUITE C, HOUSTON, TX 77006-2300
(713) 520-0205
(713) 520-9714
Mailing address
2621 MILAM STREET, SUITE C, HOUSTON, TX 77006-2300
(713) 520-0205
(713) 520-9714
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1439418
—
TX
01
—
4578564
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
11/01/2007
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