Organization
RIFTCO INNOVATIONS, LLC
Active
Other names
Katy Memorial Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IDRIS B MANSURI RPH (PHARMACY MANAGER)
(713) 557-6499
Entity
Organization
Contact information
Practice address
23920 KATY FWY, SUITE 112, KATY, TX 77494-1341
(832) 437-7864
(832) 437-7875
Mailing address
23920 KATY FWY, SUITE 112, KATY, TX 77494-1341
(832) 437-7864
(832) 437-7875
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31276
TX
Other
Enumeration date
02/16/2017
Last updated
02/17/2017
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