Organization
A-LIST PHARMACY LLC
Active
Organization
A-LIST PHARMACY LLC
Active
Other names
A-List Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANIETIE IBANGA (MANAGER)
(832) 715-0311
Entity
Organization
Contact information
Practice address
5205 DOWLING ST STE B, HOUSTON, TX 77004-7411
(713) 529-2728
(713) 529-2729
Mailing address
2424 CALUMET ST, HOUSTON, TX 77004-7506
(832) 715-0311
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146870
PK
—
Enumeration date
08/21/2014
Last updated
12/09/2014
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