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Organization

PERSONALMED

Active
Parent organization
PERSONALMED LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PERSONALMED LLC
Authorized official
URSULA C HENRY (PHARMACY NETWORK MANAGER)
(281) 776-3854
Entity
Organization

Contact information

Practice address
10370 RICHMOND AVE STE 230, HOUSTON, TX 77042-4141
(281) 776-3854
Mailing address
10370 RICHMOND AVE STE 230, HOUSTON, TX 77042-4141
(281) 776-3854

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
31744
TX
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy

Other

Enumeration date
04/09/2018
Last updated
04/09/2018
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