Organization
PAULS HOUSE OF GENERIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BORSELLINI PHR (OWNER)
(409) 762-8959
Entity
Organization
Contact information
Practice address
2302 45TH ST, SUITE 1, GALVESTON, TX 77550-7399
(409) 762-8959
(409) 763-4285
Mailing address
2302 45TH ST, SUITE 1, GALVESTON, TX 77550-7399
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
TX04963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4520789
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
ILPACP432W686
—
TX
Enumeration date
03/02/2007
Last updated
10/16/2007
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