Organization
AVIVA PHARMACY LLC
Active
Other names
Aviva Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YEN CHANG (MANAGING MEMBER)
(832) 610-3633
Entity
Organization
Contact information
Practice address
104 INDUSTRIAL BLVD STE 204, SUGAR LAND, TX 77478-3174
(832) 610-3633
Mailing address
104 INDUSTRIAL BLVD STE 204, SUGAR LAND, TX 77478-3174
(832) 610-3633
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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