Organization
PRO MED PHARMACY
Active
Other names
Pro Med Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAJUIET WEAVER (OWNER)
(713) 592-6288
Entity
Organization
Contact information
Practice address
6300 WESTPARK DR STE 210, HOUSTON, TX 77057-7207
(713) 592-6188
(713) 592-6211
Mailing address
6300 WESTPARK DR STE 210, HOUSTON, TX 77057-7207
(713) 592-6188
(713) 592-6211
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27241
TX
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143046
PK
—
Enumeration date
11/27/2013
Last updated
11/27/2013
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