Organization
SANTA MARIA PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSIGIE GIRGIRO PHARM.D (OWNER)
(832) 687-4132
Entity
Organization
Contact information
Practice address
6108 GULFTON ST, HOUSTON, TX 77081-2304
(713) 592-5300
(713) 592-5302
Mailing address
6108 GULFTON ST, HOUSTON, TX 77081-2304
(713) 592-5300
(713) 592-5302
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148533
—
TX
Enumeration date
01/29/2015
Last updated
02/24/2021
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