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Organization

MEDELA PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GHISLAINE KOUAMOU (OFFICER/ PHARMACIST-IN-CHARGE)
(281) 253-8073
Entity
Organization

Contact information

Practice address
6550 MAPLERIDGE ST STE 200, HOUSTON, TX 77081-4647
(713) 434-6557
Mailing address
4771 SWEETWATER BLVD # 197, SUGAR LAND, TX 77479-3121

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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