Organization
JTAC2 INC
Active
Other names
Main Medical Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY K WILLIAMS RPH (PRESIDENT)
(713) 667-5003
Entity
Organization
Contact information
Practice address
10019 S MAIN ST # A-10, HOUSTON, TX 77025-5209
(713) 667-5003
(713) 667-5030
Mailing address
10019 S MAIN ST # A-10, HOUSTON, TX 77025-5209
(713) 667-5003
(713) 667-5030
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145582
—
TX
Enumeration date
12/20/2006
Last updated
08/22/2020
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