Organization
AMBER JAR PHARMACY, LLC
Active
Organization
AMBER JAR PHARMACY, LLC
Active
Other names
Amber Jar Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WALAA MOUSSA (OFFICER)
(713) 893-5993
Entity
Organization
Contact information
Practice address
6160 RICHMOND AVE, HOUSTON, TX 77057-6210
(713) 893-5993
(713) 893-5693
Mailing address
6160 RICHMOND AVE, HOUSTON, TX 77057-6210
(713) 893-5993
(713) 893-5693
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28575
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140998
PK
—
Enumeration date
06/25/2013
Last updated
07/19/2018
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