Individual
EDWIN SAMA TITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
10611 S SAM HOUSTON PKWY W STE 200, HOUSTON, TX 77071-3111
(713) 667-4010
(713) 667-9304
Mailing address
PO BOX 809160, CHICAGO, IL 60680-9160
(480) 765-5043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32748
TX
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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