Vintage Pharmacy Plus

NPI 1740678184 - Pharmacy - 3336C0003X

NPI Details
NPI 1740678184
Enumeration Date 01/08/2015
Last Updated 01/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEREMIAH JEREMIAH
Position PHARMACY MANAGER
Phone (281) 251-3911
Fax (281) 251-3908
Practice Location
11550 LOUETTA RD
SUITE #1600
HOUSTON TX, 77070-1368, US
Phone (281) 251-3911
Fax (281) 251-3908
Business Location
11550 LOUETTA RD
SUITE #1600
HOUSTON TX, 77070-1368, US
Phone (281) 251-3911
Fax (281) 251-3908
Toxanomy
Taxonomy Code 3336C0003X
License State Texas
License Number 29705
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According to our database, Vintage Pharmacy Plus NPI is 1740678184, taxonomy code is 3336C0003X and license number is 29705, license state is located at Texas. Vintage Pharmacy Plus physically located at 11550 Louetta Rd, Houston TX, 77070-1368. NPI Number 1033115704 has the healthcare provider type.

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1740678184 NPI number is provided on an as is basis without warranty of any kind. 1740678184 is maintained by the National Plan & Provider Enumeration System. The contents of Vintage Pharmacy Plus are for informational purposes only.