Organization
EAST TEXAS CLINICAL SERVICES, INC
Active
Parent organization
EAST TEXAS CLINICAL SERVICES, INC
Other names
CHI St. Luke's Health Neighborhood Pharmacy #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TEXAS CLINICAL SERVICES, INC
Authorized official
LEENA SAFI (PIC, RPH.)
(281) 312-8590
Entity
Organization
Contact information
Practice address
22710 PROFESSIONAL DRIVE, SUITE 103, KINGWOOD, TX 77339
(281) 312-8590
(281) 312-8594
Mailing address
22710 PROFESSIONAL DRIVE, SUITE 103, KINGWOOD, TX 77339
(281) 312-8590
(281) 312-8594
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2174277
PK
—
Enumeration date
09/06/2006
Last updated
12/20/2018
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