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Organization
FOREST LAKE PHARMACY
Active
Organization
FOREST LAKE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS CHAN R.PH. (CHIEF PHARMACIST)
(713) 635-1441
Entity
Organization
Contact information
Practice address
9129 MESA DR, HOUSTON, TX 77028-1606
(713) 635-1441
(713) 635-6810
Mailing address
9129 MESA DR, HOUSTON, TX 77028-1606
(713) 635-1441
(713) 635-6810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142918
—
TX
Enumeration date
01/19/2006
Last updated
11/18/2008
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