Organization
GENERIC PHARMACY INC
Active
Organization
GENERIC PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELLA GONZELEZ RPH (PHRMCST)
(713) 451-9969
Entity
Organization
Contact information
Practice address
13125 EAST FWY, HOUSTON, TX 77015-5803
(713) 451-9969
(713) 453-6251
Mailing address
13125 EAST FWY, HOUSTON, TX 77015-5803
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
06257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144702
—
TX
01
—
4560531
OTHER ID NUMBER
—
Enumeration date
09/20/2006
Last updated
09/13/2007
Update your record
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