Organization
MINU RX LTD
Active
Other names
MEMORIAL COMPOUNDING PHARMACY, MEMORIAL WELLNESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KHYATI UNDAVIA (PIC)
(713) 256-0747
Entity
Organization
Contact information
Practice address
2918 SAN JACINTO ST, HOUSTON, TX 77004-2708
(713) 523-7847
(713) 490-5538
Mailing address
PO BOX 88410, HOUSTON, TX 77288-0410
(713) 523-7847
(713) 490-5538
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18996
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148992
—
TX
01
—
2103513
PK
—
Enumeration date
02/15/2007
Last updated
08/16/2019
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