Organization
RAPHA RESOURCES
Active
Other names
Rapha Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAM FOMUNUNG (VICE PRESIDENT)
(713) 355-4488
Entity
Organization
Contact information
Practice address
8449 W BELLFORT ST, SUITE# 310, HOUSTON, TX 77071-2245
(713) 776-1010
Mailing address
8449 W BELLFORT ST, SUITE# 310, HOUSTON, TX 77071-2245
(713) 776-1010
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
25602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25602
LICENSE
TX
Enumeration date
07/02/2007
Last updated
08/22/2020
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