Organization
MEDLITE LLC
Active
Other names
MEDLITE PHARMACY, MEDLITE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNEDY EHIMARE IJIE SR. R.PH (OWNER)
(281) 815-7366
Entity
Organization
Contact information
Practice address
16506 FM 529 RD, #108, HOUSTON, TX 77095-1462
(281) 815-7366
(281) 815-7258
Mailing address
16506 FM 529 RD STE 108, HOUSTON, TX 77095-1462
(281) 815-7366
(281) 815-7258
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149305
—
TX
Enumeration date
02/10/2016
Last updated
10/09/2025
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