Organization
CEDRA PHARMACY HOUSTON LLC
Active
Other names
cedra pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN KARNABY (CEO)
(917) 836-8886
Entity
Organization
Contact information
Practice address
1607 S POST OAK LN, HOUSTON, TX 77056-2807
(713) 621-0621
(713) 621-9621
Mailing address
724 ELTON AVE, BRONX, NY 10455-1687
(917) 836-8886
(713) 621-9621
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30202
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148401
—
TX
01
—
2155114
PK
—
Enumeration date
10/28/2015
Last updated
10/25/2023
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