Organization
KIM MORE PHARMACY CORPORATION
Active
Other names
KIM LONG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KRAUSE (OWNER)
(713) 777-1414
Entity
Organization
Contact information
Practice address
7601 W SAM HOUSTON PKWY S, STE 900, HOUSTON, TX 77072-5227
(713) 777-1414
(713) 777-1417
Mailing address
PO BOX 720712, HOUSTON, TX 77272-0712
(713) 777-1414
(713) 777-1417
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099902
PK
—
Enumeration date
12/26/2006
Last updated
11/17/2015
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