Organization
BLUE CITY LLC
Active
Other names
EZ Pack Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL ALLES (OWNER)
(682) 262-1120
Entity
Organization
Contact information
Practice address
2646 S LOOP W STE 180A, HOUSTON, TX 77054-5616
(832) 582-5290
Mailing address
2646 S LOOP W STE 180A, HOUSTON, TX 77054-5616
(832) 582-5290
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
09/06/2023
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