Organization
EXCELMED SPECIALTY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALERIE OJI PHARMD, BCPP (CLIN DIRECTOR)
(301) 332-4348
Entity
Organization
Contact information
Practice address
4654 HIGHWAY 6 N STE 204, HOUSTON, TX 77084-2878
(713) 291-0954
Mailing address
4654 HIGHWAY 6 N STE 204, HOUSTON, TX 77084-2878
(713) 291-0954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32300
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
11/14/2018
Last updated
11/14/2018
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