Organization
MEDVEST INC
Active
Other names
SCURLOCK TOWER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HAGALE RPH (EXECUTIVE VP)
(713) 441-6350
Entity
Organization
Contact information
Practice address
6560 FANNIN ST, STE 260, HOUSTON, TX 77030-2761
(713) 441-6350
(713) 441-0412
Mailing address
6560 FANNIN ST, STE 260, HOUSTON, TX 77030-2761
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145334
—
TX
01
—
4551734
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
04/28/2009
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