Organization
SAM'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UCHEGBULEM ALOYSIUS EZE PHARM.D (CEO/PHARMACIST IN CHARGE)
(713) 779-2100
Entity
Organization
Contact information
Practice address
8300 BISSONNET ST, SUITE 100, HOUSTON, TX 77074-3900
(713) 779-2100
(713) 779-3222
Mailing address
8300 BISSONNET ST, SUITE 100, HOUSTON, TX 77074-3900
(713) 779-2100
(713) 779-3222
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4412390001
TX
3336C0003X
Community/Retail Pharmacy
Primary
21010
TX
3336H0001X
Home Infusion Therapy Pharmacy
21010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145169
—
TX
05
—
148652401
—
TX
05
—
148652402
—
TX
05
—
149287801
—
TX
Enumeration date
07/20/2006
Last updated
11/26/2012
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