Organization
STORM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS GONZALEZ (PRESIDENT)
(832) 715-2574
Entity
Organization
Contact information
Practice address
3141 A 2B COLLEGE ST, BEAUMONT, TX 77701
(409) 839-8700
(409) 839-8706
Mailing address
3141 A 2B COLLEGE ST, BEAUMONT, TX 77701
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
24975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4540983
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/12/2006
Last updated
08/22/2020
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