Organization
TINAPA MEDICAL MANAGEMENT INC
Active
Other names
Meadows Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VICKEY GUTIERREZ (OWNER)
(832) 602-5049
Entity
Organization
Contact information
Practice address
12714 NORTH FWY, HOUSTON, TX 77060-1227
(832) 602-5049
(281) 872-4711
Mailing address
12714 NORTH FWY, HOUSTON, TX 77060-1227
(832) 602-5049
(281) 872-4711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27627
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168719
PK
—
Enumeration date
04/28/2017
Last updated
04/28/2017
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