Healthcare Provider Details

I. General information

NPI: 1407397052
Provider Name (Legal Business Name): ADOUNIN LUCIE SEKA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3663 BRIARPARK DR
HOUSTON TX
77042-5205
US

IV. Provider business mailing address

3663 BRIARPARK DR
HOUSTON TX
77042-5205
US

V. Phone/Fax

Practice location:
  • Phone: 713-268-3626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55081
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: