Organization
MEDALWAYS PHARMACY INC
Active
Other names
Preferred Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER DZIOBA (PRESIDENT)
(714) 717-7247
Entity
Organization
Contact information
Practice address
3939 HILLCROFT ST, STE 120, HOUSTON, TX 77057-7721
(713) 465-8100
(713) 465-8103
Mailing address
3939 HILLCROFT ST, STE 120, HOUSTON, TX 77057-7733
(713) 465-8100
(713) 465-8103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149495
—
TX
Enumeration date
04/05/2010
Last updated
05/11/2022
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