Organization
MERRIMAC PRIMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENOUDA MOURGAN (OWNER)
(410) 603-3559
Entity
Organization
Contact information
Practice address
12815 KINKAID MEADOWS LN, HUMBLE, TX 77346-3794
(832) 295-8500
Mailing address
12815 KINKAID MEADOWS LN, HUMBLE, TX 77346-3794
(832) 295-8500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/24/2021
Last updated
03/04/2025
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