Organization
MEDICINE CABINET SM LLC
Active
Other names
Medicine Cabinet SM, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN GONZALES (OWNER)
(713) 779-4300
Entity
Organization
Contact information
Practice address
7419 SOUTHWEST FWY, HOUSTON, TX 77074-1901
(713) 779-4300
(713) 779-4303
Mailing address
7419 SOUTHWEST FWY, HOUSTON, TX 77074-1901
(713) 779-4300
(713) 779-4303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901524
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/26/2010
Last updated
12/28/2010
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