Organization
HOUSTON MIDTOWN PHARMACY LLC
Active
Other names
Houston Midtown Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORE (AO)
(832) 265-4614
Entity
Organization
Contact information
Practice address
6609 W SAM HOUSTON PKWY S, STE 98, HOUSTON, TX 77072-1640
(832) 831-0346
(832) 831-0390
Mailing address
6609 W SAM HOUSTON PKWY S, STE 98, HOUSTON, TX 77072-1640
(832) 831-0346
(832) 831-0390
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119922
PK
—
Enumeration date
04/29/2009
Last updated
03/27/2017
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