Organization
NIKORXPHARMACY
Active
Other names
Nikorxpharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MACY PENA (OWNER)
(832) 314-0810
Entity
Organization
Contact information
Practice address
207 WINTON ST, SOUTH HOUSTON, TX 77587-3433
(713) 510-5434
Mailing address
207 WINTON ST, SOUTH HOUSTON, TX 77587-3433
(713) 510-5434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28818
TX
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140905
PK
—
Enumeration date
10/02/2013
Last updated
10/02/2013
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