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Organization

GEMOM LLC

Active
Parent organization
GEMOM LLC
Other names
Botica Familiar Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
GEMOM LLC
Authorized official
AZENATH MOGOTU GICHANA (PHARMACIST IN-CHARGE)
(713) 918-6402
Entity
Organization

Contact information

Practice address
12333 SOUTH MAIN STREET, HOUSTON, TX 77035
(713) 918-6402
(713) 918-6408
Mailing address
12333 SOUTH MAIN STREET, HOUSTON, TX 77035
(713) 918-6402
(713) 918-6408

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
TX

Other

Enumeration date
04/27/2011
Last updated
04/27/2011
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