Organization
MAINSTREAM PHARMACY LLC
Active
Other names
MAINSTREAM PHARMACY,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY CHUKWUNEKE (PRESIDENT)
(281) 210-8862
Entity
Organization
Contact information
Practice address
5720 BELLAIRE BLVD STE B, HOUSTON, TX 77081-5513
(713) 660-8500
(713) 931-6700
Mailing address
5720 BELLAIRE BLVD STE B, HOUSTON, TX 77081-5513
(713) 660-8500
(713) 931-6700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901764
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/10/2010
Last updated
11/30/2010
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