Organization
MEDICI PHARMACY LLC
Active
Other names
MEDICI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TUYETANH NGUYEN (MANAGER)
(713) 993-7770
Entity
Organization
Contact information
Practice address
12930 DAIRY ASHFORD RD STE 702, SUGAR LAND, TX 77478-4667
(713) 993-7770
Mailing address
12930 DAIRY ASHFORD RD STE 702, SUGAR LAND, TX 77478-4667
(817) 863-8331
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19351639
TEXAS DRIVER'S LICENSE
TX
Enumeration date
10/29/2019
Last updated
06/17/2020
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