Organization
BELLE PHARMACY, LLC
Active
Other names
Patients Assistance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYLA CELESTE MITTANCK RPH (PIC/AUTHORIZED SIGNATORY)
(346) 230-4125
Entity
Organization
Contact information
Practice address
1100 JACKSON STREET, SUITE D, RICHMOND, TX 77469
(346) 230-4125
(832) 202-2556
Mailing address
1100 JACKSON STREET, SUITE D, RICHMOND, TX 77469
(346) 230-4125
(832) 202-2556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29002
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144608
PK
—
05
—
470982
—
TX
Enumeration date
09/07/2006
Last updated
01/24/2018
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