Organization
AIRLINE PHARMACY ASSOCIATES LLC
Active
Other names
AIRLINE PHARMACY ASSOCIATES, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GONZALEZ (ADMIN/OWNER)
(713) 447-1375
Entity
Organization
Contact information
Practice address
24420 FM 1314 RD STE 8, PORTER, TX 77365-5490
(281) 354-5036
(281) 667-3275
Mailing address
11012 AIRLINE DR STE A, HOUSTON, TX 77037-1112
(281) 354-5036
(281) 667-3275
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5906435
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/02/2012
Last updated
03/05/2013
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