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Organization

VAX21 LLC

Active
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Organization

VAX21 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD JOHNSON (CEO)
(713) 423-3862
Entity
Organization

Contact information

Practice address
3050 POST OAK BLVD STE 510, HOUSTON, TX 77056-6512
(713) 423-3862
(713) 423-3863
Mailing address
3050 POST OAK BLVD STE 510, HOUSTON, TX 77056-6512
(713) 423-3862
(713) 423-3863

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
333600000X
Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—

Other

Enumeration date
04/20/2021
Last updated
02/23/2022
About Stedi
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