Organization
IDAPCO INC
Active
Other names
Medi Pro International Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FATHA ELMI (OWNER)
(281) 277-0111
Entity
Organization
Contact information
Practice address
11811 FALLBROOK DR STE B3, HOUSTON, TX 77065-3507
(281) 277-0111
(281) 277-0130
Mailing address
11811 FALLBROOK DR STE B3, HOUSTON, TX 77065-3507
(281) 277-0111
(281) 277-0130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146345
—
TX
01
—
2127170
PK
—
Enumeration date
11/04/2010
Last updated
01/06/2023
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