Organization
PEACHTREE INC
Active
Other names
Peachtree Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNDRIA BERRY (OWNER)
(281) 203-5700
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST STE 126, HOUSTON, TX 77036-8152
(832) 203-5700
(832) 203-5454
Mailing address
9896 BISSONNET ST, SUITE 126, HOUSTON, TX 77036-8104
(832) 203-5700
(832) 203-5454
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5902879
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/23/2010
Last updated
05/02/2011
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