Organization
ADRX INC
Active
Other names
MANGUM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI MARISA LEAL PHARM D (PRESIDENT)
(713) 208-7252
Entity
Organization
Contact information
Practice address
2025 MANGUM RD, HOUSTON, TX 77092-8529
(713) 812-8400
(713) 812-8401
Mailing address
2025 MANGUM RD, HOUSTON, TX 77092-8529
(713) 812-8400
(713) 812-8401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25475
TX
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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