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Organization

A HOLISTIC YOU PHARMACY

Active
Other names
A Holistic You Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WIGGINS III (MANAGER)
(281) 997-1644
Entity
Organization

Contact information

Practice address
9330 BROADWAY ST, SUITE 410, PEARLAND, TX 77584-7891
(281) 997-1644
(281) 997-1643
Mailing address
5826 NEW TERRITORY BLVD, SUITE 613, SUGAR LAND, TX 77479-5948
(281) 997-1644
(281) 997-1643

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26991
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5901651
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
11/03/2010
Last updated
11/08/2010
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