Organization
MERIT PHARMACY INC
Active
Other names
WALLIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IVOR JALLAH (MANAGER)
(972) 814-5738
Entity
Organization
Contact information
Practice address
5620 E SAM HOUSTON PKWY N, HOUSTON, TX 77015-3249
(281) 457-3838
(281) 457-3840
Mailing address
5620 E SAM HOUSTON PKWY N, HOUSTON, TX 77015-3249
(281) 457-3838
(281) 457-3840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100403
PK
—
Enumeration date
09/28/2007
Last updated
03/02/2017
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