Organization
JOLANTO CORPORATION
Active
Other names
Memorial Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAN VU PHARM D. (OWNER/PRESIDENT)
(832) 358-8500
Entity
Organization
Contact information
Practice address
10101 SOUTHWEST FREEWAY, STE 315, HOUSTON, TX 77074-1624
(832) 358-8500
(832) 358-8539
Mailing address
10101 SOUTHWEST FWY, STE 315, HOUSTON, TX 77074-1126
(832) 358-8500
(832) 358-8539
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146190
—
TX
Enumeration date
06/29/2010
Last updated
05/27/2020
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