MEDICARE: MAKADA HOUSTON

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
1	183700000X	Pharmacy Technician	30276673	DE

General Provider Information

NPI Number	:	1952235152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKADA HOUSTON

Provider Business Mailing Address
First Line	:	2520 W 18TH ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-1208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 W 18TH ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-1208
Country	:	US
Telephone Number	:	302-654-1143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ MAKADA HOUSTON ” Practice Location

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