Organization
SUPER VALUE DRUGS INC
Active
Other names
super value drugs
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE LARACH (PHARMACIST IN CHARGE)
(713) 928-3210
Entity
Organization
Contact information
Practice address
6807 EMMETT F LOWRY EXPY, STE 104, TEXAS CITY, TX 77591-2546
(409) 945-3381
(409) 333-3334
Mailing address
PO BOX 542291, HOUSTON, TX 77254-2291
(409) 945-3381
(409) 333-3334
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146260
—
TX
01
—
2127328
PK
—
Enumeration date
10/31/2006
Last updated
06/17/2013
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