Organization
CALVARY PHARMACEUTICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORATHY CHIAMAKA UBAH (MANAGING OFFICER)
(844) 404-4377
Entity
Organization
Contact information
Practice address
17115 RED OAK DR STE 105, HOUSTON, TX 77090-2607
(346) 323-6161
(346) 323-6171
Mailing address
17115 RED OAK DR STE 105, HOUSTON, TX 77090-2607
(346) 323-6161
(346) 323-6171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168191
PK
—
Enumeration date
03/02/2017
Last updated
02/04/2021
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