Organization
NEUGEN PHARMACY
Active
Other names
NEUGEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY E EJIMADU RPH (PIC/OWNNER)
(713) 256-0180
Entity
Organization
Contact information
Practice address
9275 RICHMOND AVE STE 114, HOUSTON, TX 77063-3949
(832) 582-6247
(832) 582-6270
Mailing address
5806 SAWMILL BEND LN, SUGAR LAND, TX 77479-1261
(713) 256-0180
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150311
—
TX
Enumeration date
07/10/2020
Last updated
03/17/2021
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