Organization
ST MICHAEL'S PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT OMOLEME (PHARMACIST-IN-CHARGE/OWNER)
(281) 236-9776
Entity
Organization
Contact information
Practice address
5102 AVENUE H, ROSENBERG, TX 77471-2014
(281) 762-1120
(281) 762-0544
Mailing address
5102 AVENUE H, ROSENBERG, TX 77471-2014
(281) 762-1120
(281) 762-0544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/04/2021
Last updated
06/10/2022
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