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Organization

MEDRITE CORPORATION, LLC.

Active
Other names
Southwest Community Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SHERINE BAHNA (OWNER)
(561) 602-5383
Entity
Organization

Contact information

Practice address
9769 BEECHNUT STREET, HOUSTON, TX 77036
(713) 272-7734
(713) 272-7083
Mailing address
9769 BEECHNUT STREET, HOUSTON, TX 77036
(713) 272-7734
(713) 272-7083

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25522
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32020574706
TAXPAYER NUMBER
TX
Enumeration date
04/25/2007
Last updated
05/07/2018
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