Organization
KATY PHARMACY & DRUGSTORE
Active
Other names
Katy Pharmacy 3
Organization subpart
No
Provider details
NPI number
Authorized official
MILAD ATTALLA (CEO)
(281) 578-1515
Entity
Organization
Contact information
Practice address
25115 GOSLING RD, SPRING, TX 77389-3226
(832) 953-2611
(832) 953-2613
Mailing address
25115 GOSLING RD, SPRING, TX 77389-3226
(832) 953-2611
(832) 953-2613
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31029
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160488
PK
—
Enumeration date
10/14/2016
Last updated
12/20/2016
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