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Organization

MEDSOURCE PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELISSA D MARSHALL (MANAGER)
(281) 969-7090
Entity
Organization

Contact information

Practice address
4220 CARTWRIGHT RD STE 103, MISSOURI CITY, TX 77459-5307
(281) 969-7090
(281) 969-7085
Mailing address
4220 CARTWRIGHT RD STE 103, MISSOURI CITY, TX 77459-5307
(281) 969-7090
(281) 969-7085

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Enumeration date
07/12/2023
Last updated
07/12/2023
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