Organization
ELLA-MED INC
Active
Other names
Ella Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRANG PHAM (PIC OWNER)
(713) 956-1622
Entity
Organization
Contact information
Practice address
3444 ELLA BLVD, HOUSTON, TX 77018-6100
(713) 956-1622
(713) 956-5944
Mailing address
3444 ELLA BLVD, HOUSTON, TX 77018-6100
(713) 956-1622
(713) 956-5944
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4539497
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/11/2006
Last updated
11/17/2009
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