Individual
AUTUMN IKIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6360 SAN FELIPE ST, HOUSTON, TEXAS, TX 77057
(713) 278-2616
Mailing address
3100 CLEBURNE ST, HOUSTON, TX 77004-4501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75643
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2022
Last updated
08/05/2025
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