Organization
PHARM HOUSE CONROE LLC
Active
Organization
PHARM HOUSE CONROE LLC
Active
Other names
PHARM HOUSE DRUG - CONROE LLC, Pharm House Drug - Conroe, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LAMB (COMPLIANCE OFFICER)
(770) 474-7693
Entity
Organization
Contact information
Practice address
690 S LOOP 336 W STE 100, CONROE, TX 77304-3320
(936) 539-4900
(936) 539-4920
Mailing address
PO BOX 580, MCDONOUGH, GA 30253-0580
(770) 474-7693
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175573
PK
—
Enumeration date
01/24/2018
Last updated
04/17/2018
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