Organization
SCOTT PLACE PHARMACY LLC
Active
Other names
Scott Place Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAR DEWOOD (OWNER)
(443) 799-6996
Entity
Organization
Contact information
Practice address
8990 KIRBY DR STE 240, HOUSTON, TX 77054-2854
(713) 660-9920
Mailing address
PO BOX 20488, HOUSTON, TX 77225-0488
(713) 660-9920
(713) 391-8436
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164714
PK
—
Enumeration date
10/25/2016
Last updated
01/18/2017
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