Organization
1960 FAMILY PRACTICE PA
Active
Organization
1960 FAMILY PRACTICE PA
Active
Other names
Express Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA SMITH (PIC)
(281) 453-7205
Entity
Organization
Contact information
Practice address
837 CYPRESS CREEK PKWY STE 105A, HOUSTON, TX 77090-3422
(281) 453-7205
(281) 453-7242
Mailing address
20320 NORTHWEST FWY STE 900, JERSEY VILLAGE, TX 77065-5620
(281) 453-7918
(281) 453-7242
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146561
—
TX
01
—
2132793
PK
—
Enumeration date
11/08/2011
Last updated
07/28/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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