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Organization

BLACK HAWK PHARMACY LLC

Active
Other names
Black Hawk Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA ROBINSON (OWNER)
(281) 919-1905
Entity
Organization

Contact information

Practice address
17027 NANES DR, HOUSTON, TX 77090-2501
(281) 919-1905
(281) 919-1955
Mailing address
17027 NANES DR, HOUSTON, TX 77090-2501
(281) 919-1905
(281) 919-1955

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29486
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2149819
PK
Enumeration date
01/20/2015
Last updated
01/26/2015
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