Organization
LP. INC.
Active
Organization
LP. INC.
Active
Other names
ascensia nutritional pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEDE NDUKA (PHARMACIST)
(713) 665-4400
Entity
Organization
Contact information
Practice address
3003 SOUTH LOOP W SUITE 450, HOUSTON, TX 77054-1315
(713) 665-4400
(713) 665-0309
Mailing address
3003 SOUTH LOOP WEST SUITE 450, HOUSTON, TX 77054
(713) 665-4400
(713) 665-0309
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145470
—
TX
Enumeration date
05/11/2006
Last updated
06/23/2008
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