Organization
VAXANATION
Active
Other names
Travelvax
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN ADAMS PHARM D (OWNER)
(832) 460-9003
Entity
Organization
Contact information
Practice address
14655 NORTHWEST FWY STE 101, HOUSTON, TX 77040-4032
(832) 460-9003
Mailing address
14655 NORTHWEST FWY STE 101, HOUSTON, TX 77040-4032
(832) 460-9003
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202319492
—
TX
Enumeration date
04/09/2019
Last updated
06/11/2019
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