Organization
UNITED TEXAN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMONTRION C PETERS PHARM. D (OWNER / PHARMACIST)
(713) 289-4825
Entity
Organization
Contact information
Practice address
2909 HILLCROFT ST STE 602, HOUSTON, TX 77057-5847
(281) 888-4139
(281) 720-5131
Mailing address
2909 HILLCROFT ST STE 602, HOUSTON, TX 77057-5847
(281) 888-4139
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33718
TEXAS STATE BOARD OF PHARMACY LICENSE
TX
Enumeration date
04/13/2021
Last updated
03/16/2023
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