Organization
JVN CREATIVE CARE INC
Active
Other names
Sealy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA LYNN MEZA (ADMIN)
(979) 256-3045
Entity
Organization
Contact information
Practice address
707 MEYER ST, SEALY, TX 77474-2715
(979) 256-3045
(979) 256-3101
Mailing address
707 MEYER ST, SEALY, TX 77474-2715
(979) 256-3045
(979) 256-3101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154839
PK
—
Enumeration date
10/26/2015
Last updated
12/19/2018
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