Organization
MEDICAL CENTER EAST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA AU RPH (PIC AND OWNER)
(713) 675-2625
Entity
Organization
Contact information
Practice address
7112 LYONS AVE, HOUSTON, TX 77020-5361
(713) 675-2625
Mailing address
7112 LYONS AVE, HOUSTON, TX 77020-5361
(713) 675-2625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
13506
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143578
—
TX
01
—
4586193
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/11/2007
Last updated
06/17/2008
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