Healthcare Provider Details

I. General information

NPI: 1538474549
Provider Name (Legal Business Name): PERRI NELSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7405 FM 1960 RD E
HUMBLE TX
77346-3128
US

IV. Provider business mailing address

7405 FM 1960 RD E
HUMBLE TX
77346-3128
US

V. Phone/Fax

Practice location:
  • Phone: 281-812-4729
  • Fax:
Mailing address:
  • Phone: 281-812-4729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number38177
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: