Organization
UM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL J PAYNE RPH (PIC)
(713) 453-5100
Entity
Organization
Contact information
Practice address
963 FEDERAL RD, HOUSTON, TX 77015-4801
(713) 453-5100
(713) 453-5101
Mailing address
963 FEDERAL RD, HOUSTON, TX 77015-4801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4542278
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
08/25/2010
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