Organization
DIABETES CENTER OF AMERICA PHARMACY
Active
Organization
DIABETES CENTER OF AMERICA PHARMACY
Active
Other names
DIABETES CENTER OF AMERICA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA CRAWFORD RPH PHARMD (DIRECTOR OF PHARMACY)
(713) 840-5165
Entity
Organization
Contact information
Practice address
7020 PORTWEST DR, STE 130, HOUSTON, TX 77024-8040
(713) 840-5165
(713) 862-3939
Mailing address
7020 PORTWEST DR, STE 130, HOUSTON, TX 77024-8040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145888
—
TX
01
—
4542913
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/04/2008
Last updated
12/22/2008
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