Organization
VITALDRIP INFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSA ABKHEZR (PHARMACIST IN CHARGE)
(713) 497-5510
Entity
Organization
Contact information
Practice address
6220 WESTPARK DR STE 111, HOUSTON, TX 77057-7413
(713) 497-5510
Mailing address
6220 WESTPARK DR STE 111, HOUSTON, TX 77057-7413
(713) 497-5510
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
01/25/2024
Last updated
04/29/2024
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