Organization
MARZMED INC
Active
Other names
Fallbrook Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDI KHAN (OWNER)
(832) 283-2305
Entity
Organization
Contact information
Practice address
11780 FM 1960 RD W, HOUSTON, TX 77065-3514
(832) 237-4800
(832) 237-4807
Mailing address
11780 FM 1960 RD W, HOUSTON, TX 77065-3514
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4550388
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/17/2008
Last updated
12/30/2008
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