Organization
BALLEM PHARMACY
Active
Other names
Ballem Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISA CHE PHARM D (PHARMACIST IN CHARGE)
(713) 520-6900
Entity
Organization
Contact information
Practice address
2990 RICHMOND AVE, STE 110, HOUSTON, TX 77098-3104
(713) 520-6900
(713) 520-6903
Mailing address
2990 RICHMOND AVE, STE 110, HOUSTON, TX 77098-3104
(713) 520-6900
(713) 520-6903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126488
PK
—
Enumeration date
08/31/2010
Last updated
10/12/2016
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