Organization · NPI-2

1960 Family Practice PA

Pharmacy, Community/Retail Pharmacy · Houston, TX

NPI number1154608933
StatusActive
Last updated in NPPESJul 28, 2015

Details

NPI
1154608933
Entity type
Organization (NPI-2)
Legal business name
1960 Family Practice PA
Organization subpart
No
Enumeration date
Nov 8, 2011
Last updated
Jul 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy27730TXYes

Other names

  • Express Specialty Pharmacy (Doing Business As)

Practice location

837 Cypress Creek Pkwy Ste 105a
Houston, TX 77090-3422

Phone 281-453-7205 · Fax 281-453-7242

Mailing address

20320 Northwest Fwy Ste 900
Jersey Village, TX 77065-5620

Phone 281-453-7918 · Fax 281-453-7242

Authorized official

Marcia Smith
Pic
2814537205

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