Organization
BLUEBONNET PHARMACY INC
Active
Other names
Bluebonnet Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE ELGENDY (DIRECTOR)
(713) 864-0100
Entity
Organization
Contact information
Practice address
1919 NORTH LOOP W, SUITE 280, HOUSTON, TX 77008-1374
(713) 864-0100
(713) 864-0246
Mailing address
1919 NORTH LOOP W, SUITE 280, HOUSTON, TX 77008-1374
(713) 864-0100
(713) 864-0246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26367
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145996
—
TX
01
—
2118898
PK
—
Enumeration date
02/10/2009
Last updated
02/15/2017
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