Organization
PROVIDENCE CONCEPTS INCORPORATED
Active
Other names
Providence Care No. 3
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SILVA (DIRECTOR)
(713) 598-2058
Entity
Organization
Contact information
Practice address
1009 MAIN ST, PASADENA, TX 77506-4557
(713) 472-1212
Mailing address
406 PARKER ST, HOUSTON, TX 77007-7438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27504
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5903326
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/03/2011
Last updated
08/08/2011
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