Organization
MILLENNIUM PHYSICIANS ASSOCIATION PLLC
Active
Other names
Millennium Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEL INGRAM PHARMD, RPH (PHARMACY DIRECTOR)
(281) 312-8585
Entity
Organization
Contact information
Practice address
22710 PROFESSIONAL DR STE 110, KINGWOOD, TX 77339-6009
(281) 312-8585
Mailing address
22710 PROFESSIONAL DR STE 100, KINGWOOD, TX 77339-6009
(281) 298-1129
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29708
TX
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146280
—
TX
01
—
29708
PHARMACY LICENSE
TX
Enumeration date
12/30/2014
Last updated
07/23/2019
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