Organization
PROSPER COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UZOAMAKA BALONWU (PRESIDENT)
(832) 236-5852
Entity
Organization
Contact information
Practice address
3527 HIGHWAY 6 STE 250A, SUGAR LAND, TX 77478-4523
(281) 302-5454
(281) 302-5583
Mailing address
3527 HIGHWAY 6 STE 250, SUGAR LAND, TX 77478-4523
(281) 302-5454
(281) 302-5583
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
10/18/2024
Last updated
12/17/2024
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