Organization
KHOSROW PEZESHKI
Active
Other names
PHARMACY 2000
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY JONES (PHARMACIST-PIC)
(713) 271-2108
Entity
Organization
Contact information
Practice address
7563 S BRAESWOOD BLVD, HOUSTON, TX 77071-1423
(713) 271-2108
(713) 271-2110
Mailing address
7563 S BRAESWOOD BLVD, HOUSTON, TX 77071-1423
(713) 271-2108
(713) 271-2110
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5903186
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/06/2011
Last updated
05/20/2011
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