Organization
BLUE MINT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BLACKWELL (CEO/OWNER)
(713) 553-1517
Entity
Organization
Contact information
Practice address
9888 BISSONNET ST STE 210, HOUSTON, TX 77036-8441
(713) 773-2535
Mailing address
9888 BISSONNET ST STE 210, HOUSTON, TX 77036-8441
(713) 773-2535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28639
TX
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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