Organization
STEPHEN F AUSTIN COMMUNITY HEALTH CENTER, INC
Active
Other names
CHN Pharmacy # 400
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY SMITH (CREDENTIALING)
(281) 824-1480
Entity
Organization
Contact information
Practice address
1111 W ADOUE ST STE 100, ALVIN, TX 77511-2718
(281) 824-1470
(281) 643-6997
Mailing address
1111 W ADOUE ST STE 100, ALVIN, TX 77511-2718
(281) 824-1480
(281) 220-6407
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33955
TSBP
TX
Enumeration date
09/08/2021
Last updated
12/12/2023
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