Organization
SHEVAT INC
Active
Other names
Pecan Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALESANDRA FARPON (OWNER)
(713) 514-8028
Entity
Organization
Contact information
Practice address
5537 LAWNDALE ST, HOUSTON, TX 77023-3837
(713) 514-8028
(713) 514-8078
Mailing address
5537 LAWNDALE ST, HOUSTON, TX 77023-3837
(713) 514-8028
(713) 514-8078
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5905534
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/20/2012
Last updated
03/29/2012
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