Organization
MD PHARMACY
Active
Organization
MD PHARMACY
Active
Other names
MD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DYER (ONWER)
(713) 829-4611
Entity
Organization
Contact information
Practice address
11540 EAGLE DR, STE A, BAYTOWN, TX 77523-7653
(281) 576-0106
(281) 576-5511
Mailing address
11540 EAGLE DR, STE A, BAYTOWN, TX 77523-7653
(281) 576-0106
(281) 576-5511
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145776
—
TX
01
—
2100018
PK
—
Enumeration date
03/15/2007
Last updated
03/30/2016
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