Organization
MAVIS O PHARMACY LLC
Active
Other names
Mavis O Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BAYO ADENIYI (PIC)
(281) 498-1161
Entity
Organization
Contact information
Practice address
10080 BELLAIRE BLVD STE 102, HOUSTON, TX 77072-5249
(281) 498-1161
(281) 498-1180
Mailing address
10080 BELLAIRE BLVD STE 102, HOUSTON, TX 77072-5249
(281) 498-1161
(281) 498-1180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130938
PK
—
Enumeration date
06/24/2011
Last updated
09/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us