Organization
QVL PHARMACY 141 LP
Active
Other names
QVL PHARMACY 141
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CHAD COLLINS (CEO)
(214) 624-3050
Entity
Organization
Contact information
Practice address
6711 STELLA LINK RD, HOUSTON, TX 77005-4342
(713) 512-5998
(713) 491-4376
Mailing address
PO BOX 803493, DALLAS, TX 75380-3493
(214) 624-3073
(214) 989-7986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098610
PK
—
05
—
466885
—
TX
Enumeration date
05/16/2006
Last updated
06/17/2014
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