Organization
PRESTIGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANUEL GHEBREMICHAEL RPH (OWNER AND PIC)
(832) 778-6552
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST, STE 116, HOUSTON, TX 77081-4600
(832) 778-6552
(832) 778-6550
Mailing address
6550 MAPLERIDGE ST, STE 116, HOUSTON, TX 77081-4600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
24959
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145650
—
TX
01
—
4535564
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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