Organization
UH SYSTEM CONSOLIDATED
Active
Other names
Student Health Pharmacy University of Houston, University of Houston Campus Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JON RUSCIANO MD (DIRECTOR)
(713) 743-5151
Entity
Organization
Contact information
Practice address
4349 MARTIN LUTHER KING BLVD, ROOM 1211, HOUSTON, TX 77204
(713) 743-5125
(713) 743-3971
Mailing address
4349 MARTIN LUTHER KING BLVD, ROOM 1211, HOUSTON, TX 77204
(713) 743-5125
(713) 743-3971
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
6017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4537140
NCPDP
—
Enumeration date
07/05/2012
Last updated
02/09/2023
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