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NPI Code Detail

MEDICARE: MARITIME PHARMACY

MEDICARE: MARITIME PHARMACY
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
1183500000XPharmacist19801TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24511095OTHERTXNABP

General Provider Information

NPI Number : 1881789022
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARITIME PHARMACY
Provider Business Mailing Address
First Line : PO BOX 272327
Second Line :
City : HOUSTON
State : TX
Zip : 77277-2327
Country : US
Telephone Number : 713-921-1052
Fax Number : 713-926-4352
Provider Business Practice Location Address
First Line : 900 BROADWAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77012-2127
Country : US
Telephone Number : 713-921-1052
Fax Number : 713-926-4352
Authorized Official
Title or Position : PRESIDENT
Name : MRS. UMALINEE PINWATANA
Credential :
Telephone Number : 713-921-1052
Provider Enumeration Date : 10/04/2006
Last Update Date : 03/19/2015

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Directions to “MARITIME PHARMACY ” Practice Location

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