Organization
CAPITAL APOTHECARY II, LLC
Active
Other names
District Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DERIC OUTLEY MSN, DNP, RN (PRINCIPAL)
(713) 498-2112
Entity
Organization
Contact information
Practice address
4306 YOAKUM BLVD, HOUSTON, TX 77006-5851
(713) 498-2112
Mailing address
1319 RICHMOND AVE UNIT 667603, HOUSTON, TX 77266-0073
(713) 498-2112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1804503457
FILING NUMBER
TX
Enumeration date
02/09/2023
Last updated
02/09/2023
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