Organization
HOUSTON MIDTOWN PHARMACY LLC
Active
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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