Organization
FATTA DRIVE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSEOBOH INEGBENOSE ODUBELE (OFFICER)
(346) 291-2922
Entity
Organization
Contact information
Practice address
2800 W MAIN ST, SUITE H, LEAGUE CITY, TX 77573
(346) 291-2922
(346) 291-2922
Mailing address
2800 W MAIN ST, SUITE H, LEAGUE CITY, TX 77573
(346) 291-2922
(346) 291-2922
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
02/20/2024
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