Organization
GULF BANK PHARMACY
Active
Other names
Gulf Bank Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN DACOSTA (OWNER)
(281) 931-4171
Entity
Organization
Contact information
Practice address
8906 NORTH FWY, HOUSTON, TX 77037-2727
(281) 931-4171
Mailing address
8906 NORTH FWY, HOUSTON, TX 77037-2727
(281) 931-4171
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145171
PK
—
Enumeration date
05/08/2014
Last updated
05/08/2014
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