Organization
AZTEC RX INC
Active
Other names
AZTECA PHARMACY #2
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BALANDRAN (PHARMACIST-IN-CHARGE)
(832) 607-7452
Entity
Organization
Contact information
Practice address
6243 FAIRMONT PKWY STE 206, PASADENA, TX 77505-4047
(281) 998-1100
(281) 998-1104
Mailing address
6243 FAIRMONT PKWY, STE 206, PASADENA, TX 77505-4045
(281) 998-1100
(281) 998-1104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26490
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4552508
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/02/2009
Last updated
06/19/2009
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