Organization
KC PHARMACY
Active
Other names
KC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA GUTIERREZ (OFFICER)
(832) 758-6358
Entity
Organization
Contact information
Practice address
6061 BISSONNET ST, HOUSTON, TX 77081-6903
(832) 943-1420
(281) 861-9001
Mailing address
6061 BISSONNET ST, HOUSTON, TX 77081-6903
(832) 943-1420
(281) 861-9001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168787
PK
—
Enumeration date
04/10/2017
Last updated
04/10/2017
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