Organization
JOLANTO CORPORATION
Active
Other names
memorial pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAN VU RPH.D (OWNER)
(832) 358-8500
Entity
Organization
Contact information
Practice address
10101 SOUTHWEST FWY STE 315, HOUSTON, TX 77074-1111
(832) 358-8500
(832) 358-8539
Mailing address
10101 SOUTHWEST FWY STE 315, HOUSTON, TX 77074-1111
(832) 358-8500
(832) 358-8539
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146190
—
TX
Enumeration date
05/27/2020
Last updated
05/27/2020
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