Organization
AMERIHEALTH INC
Active
Other names
AMERIHEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANN UKENYE BSC PHARMACY (PHARMACY MANAGER)
(956) 220-5088
Entity
Organization
Contact information
Practice address
1901 FREES ST, STE 2, LAREDO, TX 78046-7152
(956) 728-8881
(956) 728-7548
Mailing address
1901 FREES ST, STE 2, LAREDO, TX 78046-7152
(956) 728-8881
(956) 728-7548
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178727701
—
TX
05
—
178727702
—
TX
01
—
4539601
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/22/2006
Last updated
01/14/2010
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