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Organization
WESLEY PHARMACY
Active
Organization
WESLEY PHARMACY
Active
Other names
WESLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTINE EKECHUKEU (MANAGER)
(281) 580-1408
Entity
Organization
Contact information
Practice address
5711 BISSONNET ST STE F, BELLAIRE, TX 77401-4724
(713) 838-1500
(713) 838-1505
Mailing address
5711 BISSONNET ST, SUITE#F, BELLAIRE, TX 77401-4725
(713) 838-1500
(713) 838-1505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5906423
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/10/2012
Last updated
10/19/2012
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