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Organization

PROTEX PHARMACY LLC

Active
Other names
N/A
Organization subpart
No

Provider details

NPI number
Authorized official
DELE AGBOGUN MALE (PRESIDENT)
(713) 632-3305
Entity
Organization

Contact information

Practice address
1540 KENFOREST DR, MISSOURI CITY, TX 77489-2165
(713) 632-3305
Mailing address
1540 KENFOREST DR, MISSOURI CITY, TX 77489-2165
(713) 632-3305

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00
PHARMACY
TX
05
00
TX
Enumeration date
07/14/2015
Last updated
07/14/2015
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