Organization
THE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR A EHIEMUA R.PH (PHARMACIST-IN-CHARGE)
(713) 266-5425
Entity
Organization
Contact information
Practice address
6630 SOUTHWEST FWY, HOUSTON, TX 77074-2210
(713) 266-5425
(713) 266-6506
Mailing address
6630 SOUTHWEST FWY, HOUSTON, TX 77074-2210
(713) 266-5425
(713) 266-6506
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
12275
TX
333600000X
Pharmacy
Primary
12275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144024
—
TX
01
—
4559160
NCPDP
TX
Enumeration date
12/11/2006
Last updated
10/10/2013
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