Organization
JSK HEALTHCARE LLC.
Active
Other names
BEECHNUT PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HIREN RAVAL RPH (PRESIDENT)
(817) 350-0209
Entity
Organization
Contact information
Practice address
7500 BEECHNUT STREET, SUITE 151, HOUSTON, TX 77074
(713) 988-1103
(713) 988-1138
Mailing address
7500 BEECHNUT STREET, SUITE 151, HOUSTON, TX 77074
(713) 988-1103
(713) 988-1138
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24337
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149959
—
TX
01
—
2101358
PK
—
Enumeration date
09/12/2006
Last updated
12/21/2022
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