Organization
ST LUKES MEDICAL TOWER PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BIAS RPH (MANAGER)
(832) 355-8444
Entity
Organization
Contact information
Practice address
6624 FANNIN ST, STE 120, HOUSTON, TX 77030-2312
(832) 355-8444
(713) 795-0842
Mailing address
6624 FANNIN ST, STE 120, HOUSTON, TX 77030-2312
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145081
—
TX
01
—
4582400
OTHER ID NUMBER
—
Enumeration date
04/03/2007
Last updated
09/12/2007
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