Organization
SOUTH MASON ROAD PHARMACY
Active
Other names
SOUTH MASON ROAD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DAVIS (PHARMACY IN CHARGE)
(281) 829-6960
Entity
Organization
Contact information
Practice address
515A S MASON RD, KATY, TX 77450-2491
(281) 829-6960
(281) 829-6963
Mailing address
515A S MASON RD, KATY, TX 77450-2491
(281) 829-6960
(281) 829-6963
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5902374
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2011
Last updated
02/22/2011
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