Organization
RAPHA PHARMACY
Active
Parent organization
RAPHA RESOURCES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAPHA RESOURCES INC
Authorized official
PAMELA FOMUNUNG (DIR OF PHRMCY)
(832) 328-1855
Entity
Organization
Contact information
Practice address
12600 BISSONNET ST STE E1, HOUSTON, TX 77099-1395
(832) 328-1855
(832) 328-1845
Mailing address
12600 BISSONNET ST STE E1, HOUSTON, TX 77099-1395
(832) 328-1855
(832) 328-1845
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
21402
TX
3336C0003X
Community/Retail Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145146
—
TX
01
—
4521301
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
10/08/2008
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