Organization
PECCIO MEDI-MART PLUS L.L.C
Active
Organization
PECCIO MEDI-MART PLUS L.L.C
Active
Other names
PECCIO PHARMACY PLUS #II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNNY R. NWAOBI PHARMACIST (PHARMACIST-IN-CHARGE)
(713) 780-7600
Entity
Organization
Contact information
Practice address
5615 RICHMOND AVE, SUITE 165, HOUSTON, TX 77057-6327
(713) 780-7600
(713) 780-7603
Mailing address
5615 RICHMOND AVE, HOUSTON, TX 77057-6327
(713) 780-7600
(713) 780-7603
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
26858
TX
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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