Organization
7400 FANNIN, INC.
Active
Organization
7400 FANNIN, INC.
Active
Other names
One Fannin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE MARSHALL MS RPH (PHARMACIST IN CHARGE)
(713) 795-4111
Entity
Organization
Contact information
Practice address
7400 FANNIN ST, SUITE 120, HOUSTON, TX 77054-1920
(713) 795-4111
(713) 797-1237
Mailing address
7400 FANNIN ST, SUITE 120, HOUSTON, TX 77054-1920
(713) 795-4111
(713) 797-1237
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
15768
TX
Other
Enumeration date
09/02/2005
Last updated
08/22/2020
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