Organization
SCOTT PLACE PHARMACY LLC
Active
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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