Organization
OHM GROUP INC.
Active
Other names
Fulton Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KURIAN BOSE (OWNER)
(713) 861-4300
Entity
Organization
Contact information
Practice address
2938 S MAIN ST, STAFFORD, TX 77477-5532
(713) 861-4300
(713) 861-4302
Mailing address
6315 COOL WATER DR, SUGAR LAND, TX 77479-5530
(281) 565-5921
(713) 861-4302
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29895
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154774
PK
—
Enumeration date
11/17/2015
Last updated
11/17/2015
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