Organization
MACE CARE PHARMACY LLC
Active
Other names
MACE CARE PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH CHARLIE (AUTHORIZED OFFICIAL)
(832) 247-0903
Entity
Organization
Contact information
Practice address
6306 GULFTON ST STE 102, HOUSTON, TX 77081-1117
(832) 925-7033
(832) 962-8538
Mailing address
6306 GULFTON ST STE 102, HOUSTON, TX 77081-1117
(832) 925-7033
(832) 962-8538
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150215
—
TX
Enumeration date
10/18/2019
Last updated
11/29/2021
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