# TANGLEWILDE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518115450
- **Authorized official:** MISHAEL ORO MAN (DIRECTOR)
- **Authorized official phone:** (713) 784-8100

## Contact information

- **Practice address:** 9548 RICHMOND AVENUE, HOUSTON, TX 77063
- **Practice address phone:** (713) 784-8100
- **Mailing address:** 9548 RICHMOND AVE, HOUSTON, TX 77063-3834
- **Mailing address phone:** (713) 784-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 26166 | TX | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 09/04/2008