Organization
DIVINE HEALTH PHARMACY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MALBROUGH-IVORY LVN,CPHT (OWNER)
(281) 318-7696
Entity
Organization
Contact information
Practice address
6730 ATASCOCITA RD STE 114, ATASCOCITA, TX 77346-1995
(281) 318-7696
(832) 777-6073
Mailing address
6730 ATASCOCITA RD STE 114, ATASCOCITA, TX 77346-1995
(281) 318-7696
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
07/08/2025
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