Organization
3D&S SUPREME PHARMACY
Active
Other names
3D&S Supreme Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER NJIBAMUM (PHARMACIST IN CHARGE)
(713) 585-1642
Entity
Organization
Contact information
Practice address
203 E DAVIS ST, CONROE, TX 77301-3159
(936) 494-3781
(936) 494-3784
Mailing address
203 E DAVIS ST, CONROE, TX 77301-3159
(936) 494-3781
(936) 494-3784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
29914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152267
PK
—
Enumeration date
06/12/2015
Last updated
07/10/2015
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