Organization
SHREE SIDDHIVINAYAK ENTERPRISE INC
Active
Other names
HULEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISSAM S KHEIRBECK (AUTHORIZED OFFICIAL)
(817) 304-2673
Entity
Organization
Contact information
Practice address
6301 RICHMOND AVE STE 103, HOUSTON, TX 77057-5905
(346) 357-3482
(832) 201-6727
Mailing address
6301 RICHMOND AVE STE 103, HOUSTON, TX 77057-5905
(346) 357-3482
(832) 201-6727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146040
—
TX
01
—
2121145
PK
—
Enumeration date
07/21/2009
Last updated
06/10/2022
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