Organization
EUMANA HOME DIALYSIS INC
Active
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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