Healthcare Provider Details

I. General information

NPI: 1639655996
Provider Name (Legal Business Name): TOPAK PHARMACEUTICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12315 BELLAIRE BLVD STE 700
HOUSTON TX
77072-2557
US

IV. Provider business mailing address

12315 BELLAIRE BLVD STE 700
HOUSTON TX
77072-2557
US

V. Phone/Fax

Practice location:
  • Phone: 281-741-3506
  • Fax: 281-741-9008
Mailing address:
  • Phone: 281-741-3506
  • Fax: 281-741-9008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. DELPHINA C. MITIMA-SAMUEL
Title or Position: PRESIDENT
Credential: PHD, PHARMD, MBA,
Phone: 281-741-3506