Organization
PROVIDENCE PHARMACY & MEDICAL SUPPLIES, INC.
Active
Organization
PROVIDENCE PHARMACY & MEDICAL SUPPLIES, INC.
Active
Other names
PROVIDENCE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL ORUSAKWE (PRESIDENT)
(832) 623-7554
Entity
Organization
Contact information
Practice address
9525 BISSONNET ST STE 250, HOUSTON, TX 77036-8028
(832) 623-7554
(832) 832-5693
Mailing address
9525 BISSONNET ST STE 250, HOUSTON, TX 77036-8028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up