Organization
TRICARE PHARMACY LLC
Active
Other names
Tonna Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA MBONU (FOUNDER/CEO)
(281) 953-0030
Entity
Organization
Contact information
Practice address
5225 KATY FWY STE 101A, HOUSTON, TX 77007-2292
(281) 953-0030
(281) 953-0028
Mailing address
PO BOX 113, ALIEF, TX 77411-0113
(281) 953-0030
(281) 953-0028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27973
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134592
PK
—
Enumeration date
01/26/2012
Last updated
09/08/2016
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