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NPI Code Detail

MEDICARE: MEDLIN PHARMACY INC

MEDICARE: MEDLIN PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy
33336C0003XCommunity/Retail Pharmacy27202TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22127376OTHERPK

General Provider Information

NPI Number : 1295035988
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDLIN PHARMACY INC
Provider Business Mailing Address
First Line : 2755 TEXAS PKWY STE 101
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-5114
Country : US
Telephone Number : 281-437-1818
Fax Number : 281-437-1189
Provider Business Practice Location Address
First Line : 2755 TEXAS PKWY STE 101
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77489-5114
Country : US
Telephone Number : 281-437-1818
Fax Number : 281-437-1189
Authorized Official
Title or Position : OWNER, PIC, AO
Name : NKIRU CHINEDO
Credential : RPH
Telephone Number : 281-437-1818
Provider Enumeration Date : 10/27/2010
Last Update Date : 11/13/2024

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Directions to “MEDLIN PHARMACY INC ” Practice Location

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