Organization
MISSOURI CITY PHARMACY LLC
Active
Organization
MISSOURI CITY PHARMACY LLC
Active
Other names
Missouri City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKALAI LIUBENZY (OFFICER)
(619) 300-0662
Entity
Organization
Contact information
Practice address
1531 HIGHWAY 90 A, SUITE - 200, MISSOURI CITY, TX 77489-1226
(281) 393-4040
(281) 393-4041
Mailing address
1531 HWY 90A, SUITE 200, MISSOURI CITY, TX 77489-1226
(281) 393-4040
(281) 393-4041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
31971
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177136
PK
—
Enumeration date
04/19/2018
Last updated
10/10/2019
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