Organization
SUPER VALUE DRUGS INC
Active
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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