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Organization

UNICARE PHARMACY

Active
Other names
UNICARE PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
CARY RUSSELL (OFFICER)
(281) 498-1141
Entity
Organization

Contact information

Practice address
11847 BISSONNET ST, HOUSTON, TX 77099-1904
(281) 498-1141
(281) 498-1191
Mailing address
11847 BISSONNET ST, HOUSTON, TX 77099-1904
(281) 498-1141
(281) 498-1191

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
27292
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2128101
PK
Enumeration date
12/17/2010
Last updated
09/12/2016
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