Healthcare Provider Details

I. General information

NPI: 1124644588
Provider Name (Legal Business Name): GALINA NJEUNKEU NJOWO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2020
Last Update Date: 06/22/2020
Certification Date: 06/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 FM 1960 RD W
HOUSTON TX
77090-3518
US

IV. Provider business mailing address

360 FM 1960 RD W
HOUSTON TX
77090-3518
US

V. Phone/Fax

Practice location:
  • Phone: 281-397-6622
  • Fax: 281-397-0324
Mailing address:
  • Phone: 281-397-6622
  • Fax: 281-397-0324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number36872
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: