Organization
PROVEN CARE PHARMACY LLC
Active
Other names
Proven Care Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GODSWILL UNACHUKWU (CORP-PRESIDENT)
(281) 983-9333
Entity
Organization
Contact information
Practice address
10950 BISSONNET ST STE 220, HOUSTON, TX 77099-1715
(281) 983-9333
(281) 983-9335
Mailing address
13307 LARKHILL GARDENS LN, SUGAR LAND, TX 77498-7603
(281) 983-9333
(281) 983-9335
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148917
—
TX
01
—
2123398
PK
—
Enumeration date
01/07/2010
Last updated
01/20/2022
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