Organization
MEMORIAL CITY PROFESSIONAL PHARMACY
Active
Other names
NADDAF INTERESTS L P
Organization subpart
No
Provider details
NPI number
Authorized official
G M NADDAF (OWNER AND MANAGER)
(713) 461-7171
Entity
Organization
Contact information
Practice address
915 GESSNER RD, NO 200, HOUSTON, TX 77024-2527
(713) 461-7171
(713) 461-7070
Mailing address
915 GESSNER RD, NO 200, HOUSTON, TX 77024-2527
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
24199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145577
—
TX
01
—
4538053
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/20/2007
Last updated
09/12/2007
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