Organization
LEVIANT LLC
Active
Other names
KATY MEDICAL COMPLEX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SEUN RAPHEAL OLUWO PHARMD (MANAGER)
(281) 829-6497
Entity
Organization
Contact information
Practice address
21700 KINGSLAND BLVD STE 105, KATY, TX 77450-2546
(281) 829-6497
(281) 829-3581
Mailing address
PO BOX 1197, BRENHAM, TX 77834-1197
(281) 829-6497
(281) 829-5381
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
24068
TX
333600000X
Pharmacy
24068
TX
3336C0003X
Community/Retail Pharmacy
Primary
24068
TX
3336C0004X
Compounding Pharmacy
24068
TX
Other
Enumeration date
12/16/2005
Last updated
05/05/2025
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