Organization
MINU RX LTD
Active
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
Update your record
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