Organization
ECONO PHARMACY
Active
Organization
ECONO PHARMACY
Active
Other names
Econo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KOHAN (OWNER)
(310) 922-0272
Entity
Organization
Contact information
Practice address
20320 NORTHWEST FWY, SUITE 300, JERSEY VILLAGE, TX 77065-5641
(281) 890-5612
(281) 890-5630
Mailing address
1464 BEVERWIL DR, LOS ANGELES, CA 90035-2909
(281) 890-5612
(888) 527-3487
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27270
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126580
PK
—
Enumeration date
09/08/2010
Last updated
12/07/2015
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