Organization
O&W INTERESTS LLC
Active
Other names
ADCO's Pharmacy - Bayshore
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WALKER RPH (OWNER/PIC/PRESIDENT)
(281) 991-1665
Entity
Organization
Contact information
Practice address
3954 SPENCER HWY, PASADENA, TX 77504-1206
(713) 378-6900
(713) 378-6901
Mailing address
PO BOX 7029, PASADENA, TX 77508-7029
(713) 378-6900
(713) 378-6901
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146583
—
TX
01
—
5906079
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/19/2010
Last updated
07/20/2012
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