Organization
MILLENNIUM PHYSICIANS ASSOCIATION PLLC
Active
Other names
Millennium Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEL INGRAM PHARMD, RPH (PIC)
(281) 298-1129
Entity
Organization
Contact information
Practice address
9319 PINECROFT DR STE 110, THE WOODLANDS, TX 77380-3485
(281) 298-1129
(281) 298-1168
Mailing address
22710 PROFESSIONAL DR, SUITE 100, KINGWOOD, TX 77339-6008
(281) 298-1129
(281) 298-1168
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
26723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146280
—
TX
01
—
2123733
PK
—
Enumeration date
12/16/2009
Last updated
07/23/2019
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