Organization
LAVA SERVICES INC
Active
Other names
STRAWBERRY FAMILY DRUG & PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY LAVALLAIS (OWNER)
(713) 740-9033
Entity
Organization
Contact information
Practice address
1802 STRAWBERRY RD, PASADENA, TX 77502-2621
(713) 740-9033
(713) 740-9044
Mailing address
1802 STRAWBERRY RD, PASADENA, TX 77502-2621
(713) 740-9033
(713) 740-9044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21544
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145174
—
TX
01
—
2090523
PK
—
Enumeration date
09/12/2006
Last updated
01/19/2022
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