Organization
PRAETORIAN RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DEWAYNE LANIER PHARMD (PRESIDENT)
(813) 279-2729
Entity
Organization
Contact information
Practice address
1880 S DAIRY ASHFORD RD, SUITE 106, HOUSTON, TX 77077-4760
(813) 279-2729
(813) 279-2728
Mailing address
1880 S DAIRY ASHFORD RD, SUITE 106, HOUSTON, TX 77077-4760
(813) 279-2729
(813) 279-2728
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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