Healthcare Provider Details
I. General information
NPI: 1861633612
Provider Name (Legal Business Name): HSM PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2009
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10701-B WEST BELFORT SUITE 170
HOUSTON TX
77099
US
IV. Provider business mailing address
10701-B WEST BELFORT SUITE 170
HOUSTON TX
77099
US
V. Phone/Fax
- Phone: 281-575-8545
- Fax: 281-575-8542
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 26335 |
| License Number State | TX |
VIII. Authorized Official
Name:
HELEN
SONUYI
Title or Position: PRESIDENT
Credential:
Phone: 281-575-8545