Organization
STATSCRIPT
Active
Organization
STATSCRIPT
Active
Other names
Statscript
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JOSEPH BONURA (CEO)
(713) 234-0045
Entity
Organization
Contact information
Practice address
12817 GULF FWY STE A, HOUSTON, TX 77034-4804
(713) 234-0045
(855) 822-7838
Mailing address
PO BOX 34565, HOUSTON, TX 77234-4565
(713) 234-0045
(855) 822-7838
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146508
—
TX
01
—
2133194
PK
—
Enumeration date
11/19/2011
Last updated
02/06/2015
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