Organization
UPSHAW PHARMACY
Active
Other names
Upshaw Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OLUCHIE OHANAKA (PHARMACIST)
(281) 416-9123
Entity
Organization
Contact information
Practice address
7125 W FUQUA DR, MISSOURI CITY, TX 77489-2451
(281) 416-9123
(281) 416-9129
Mailing address
7125 W FUQUA DR, MISSOURI CITY, TX 77489-2451
(281) 416-9123
(281) 416-9129
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5907069
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/28/2012
Last updated
09/28/2012
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