Organization
NUBIA APOTHECARY RX LLC
Active
Other names
The Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMONICA L GORRELL PHARMD (PHARMACIST IN CHARGE)
(832) 889-7872
Entity
Organization
Contact information
Practice address
435 FM 1092 RD STE N, STAFFORD, TX 77477-5420
(832) 889-7872
Mailing address
435 FM 1092 RD STE N, STAFFORD, TX 77477-5420
(281) 208-7218
(281) 208-7220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150119
—
TX
Enumeration date
04/16/2019
Last updated
07/10/2025
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