Organization
PONDEROSA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ROBERT BLANZ JR. (OWNER)
(832) 724-5091
Entity
Organization
Contact information
Practice address
1701 FM 1960 RD W STE M, HOUSTON, TX 77090-3213
(281) 397-7001
(281) 397-8490
Mailing address
1701 FM 1960 RD W STE M, HOUSTON, TX 77090-3213
(281) 397-7001
(281) 397-8490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
TX
Other
Enumeration date
05/05/2010
Last updated
07/21/2022
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