Organization
MONAHANS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKUACHUKWU JOSEPH CHUKWUEMEKA-OGBA PHARM.D (OWNER/PHARMACIST)
(713) 835-2312
Entity
Organization
Contact information
Practice address
801 E 4TH ST, STE C, MONAHANS, TX 79756-4018
(432) 943-4212
(432) 943-7503
Mailing address
801 E 4TH ST, STE C, MONAHANS, TX 79756-4018
(432) 943-4365
(432) 943-7503
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013677201
—
TX
05
—
108432901
—
TX
01
—
513086
BCBS
TX
Enumeration date
08/20/2006
Last updated
07/15/2021
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