Organization
BRIARGROVE PHARMACY INC
Active
Other names
BRIARGROVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEVIDO (OWNER)
(713) 783-5704
Entity
Organization
Contact information
Practice address
6435 SAN FELIPE ST, HOUSTON, TX 77057-2705
(713) 783-5704
(713) 783-5482
Mailing address
6435 SAN FELIPE ST, HOUSTON, TX 77057-2705
(713) 783-5704
(713) 783-5482
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145152
—
TX
01
—
4520599
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
09/27/2012
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