Organization
DOUGHERTYS PHARMACY HUMBLE LLC
Active
Other names
Humble & Pacific Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYKEL WALKER (AUTHORIZED OFFICIAL)
(281) 446-9191
Entity
Organization
Contact information
Practice address
211 FM 1960 BYPASS RD E, HUMBLE, TX 77338-3605
(281) 446-9191
(281) 446-2329
Mailing address
211 FM 1960 BYPASS RD E, HUMBLE, TX 77338-3605
(281) 446-9191
(281) 446-2329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147047
—
TX
01
—
2148865
PK
—
Enumeration date
10/24/2014
Last updated
11/25/2020
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