Individual
BENJAMIN JACOB DEIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(346) 238-2265
Mailing address
2255 BRAESWOOD PARK DR APT 298, HOUSTON, TX 77030-4434
(440) 773-1586
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72627
TX
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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