Organization
EUMANA HOME DIALYSIS INC
Active
Other names
EUMANA INFUISION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL MANNAN KHAN RPH (PHARMACIST IN CHARGE)
(713) 660-8888
Entity
Organization
Contact information
Practice address
1313 LA CONCHA LN, HOUSTON, TX 77054-1809
(713) 668-2744
(713) 795-5959
Mailing address
1313 LA CONCHA LN, HOUSTON, TX 77054-1809
(713) 668-2744
(713) 795-5959
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17448
STATE LICENSE
TX
Enumeration date
11/29/2007
Last updated
11/29/2007
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