Organization
BELLFORT RX LLC
Active
Other names
ANGLETON HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIRAR ABDULLAH (PIC)
(281) 741-1176
Entity
Organization
Contact information
Practice address
12234 SHADOW CREEK PKWY STE 4110, PEARLAND, TX 77584-7333
(281) 741-1176
(979) 401-0009
Mailing address
12234 SHADOW CREEK PKWY STE 4110, PEARLAND, TX 77584-7333
(281) 741-1176
(979) 401-0009
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5905091
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/08/2012
Last updated
08/08/2019
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