Organization
KATY BOARDWALK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY NAMULUNDU PHARM.D (OWNER/ AUTHORIZED OFFICIAL)
(281) 377-1652
Entity
Organization
Contact information
Practice address
25230 KINGSLAND BLVD STE 100, KATY, TX 77494-2097
(281) 377-1652
(281) 377-3981
Mailing address
3120 SOUTHWEST FWY SUITE 101 PMB 419996, HOUSTON, TX 77098
(281) 377-1652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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