Organization
AMEX PHARMACY NO 3 INC
Active
Other names
AMEX PHARMACY # 3
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVIN MEHTA (PRESIDENT)
(832) 641-0145
Entity
Organization
Contact information
Practice address
5990 AIRLINE DR STE 150, HOUSTON, TX 77076-4237
(713) 451-8400
(713) 451-8402
Mailing address
5990 AIRLINE DR, STE 150, HOUSTON, TX 77076-4233
(713) 451-8400
(713) 451-8402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145329
—
TX
01
—
2099403
PK
—
Enumeration date
08/20/2006
Last updated
03/30/2016
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