Organization
AZMO USA CORPORATION LLC
Active
Other names
Azmo Pharmacy Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA GUTIERREZ (OWNER)
(281) 861-9000
Entity
Organization
Contact information
Practice address
7825 HIGHWAY 6 N, STE 106, HOUSTON, TX 77095-1700
(281) 861-9000
(281) 861-9001
Mailing address
7825 HIGHWAY 6 N, STE 106, HOUSTON, TX 77095-1700
(281) 861-9000
(281) 861-9001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29615
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147063
—
TX
01
—
2148828
PK
—
Enumeration date
11/12/2014
Last updated
08/02/2016
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