Organization
PGM PHARMACY, LLC.
Active
Other names
PGM Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETA GAY MATTIS (MANAGING MEMBER)
(713) 443-6690
Entity
Organization
Contact information
Practice address
7648 CANAL ST STE A, HOUSTON, TX 77012-1144
(713) 924-6067
(281) 501-0365
Mailing address
7648 CANAL ST STE A, HOUSTON, TX 77012-1144
(713) 924-6067
(281) 501-0365
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150868
—
TX
Enumeration date
09/26/2023
Last updated
06/16/2025
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