Organization
I-10 ATRIUM PHARMACY INC
Active
Other names
I-10 Atrium Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH BAUTISTA (OWNER)
(713) 382-8049
Entity
Organization
Contact information
Practice address
11821 EAST FWY, STE 300, HOUSTON, TX 77029-1975
(713) 453-8000
(713) 453-8001
Mailing address
8014 TOMAHAWK TRL, HOUSTON, TX 77050-5012
(713) 382-8049
(281) 454-7703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4551948
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/29/2009
Last updated
03/15/2011
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