Organization
HILLCROFT PLAZA PHARMACY INC.
Active
Other names
Amber Jar Pharmacy-II
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WALLA A MOUSSA C.PHT. (MANAGING OFFICER)
(281) 908-4541
Entity
Organization
Contact information
Practice address
6655 HILLCROFT ST, 108, HOUSTON, TX 77081-4815
(713) 541-6655
(713) 541-0052
Mailing address
6655 HILLCROFT ST, 108, HOUSTON, TX 77081-4815
(713) 541-6655
(713) 541-0052
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144178
—
TX
Enumeration date
02/06/2007
Last updated
09/07/2022
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