Organization
MARISTE PHARMACEUTICALS LLC
Active
Other names
mariste pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NKIRUKA OCHIBILI (OWNER)
(713) 234-7190
Entity
Organization
Contact information
Practice address
8710 GRAND MISSION BLVD STE H, RICHMOND, TX 77407-5413
(713) 234-7190
(713) 234-7195
Mailing address
8433 FM 1464 RD STE G, RICHMOND, TX 77407-1102
(713) 234-7190
(713) 234-7195
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127032
PK
—
Enumeration date
10/07/2010
Last updated
05/01/2017
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