Healthcare Provider Details

I. General information

NPI: 1255860623
Provider Name (Legal Business Name): APECC RX PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 03/20/2020
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17833 KUYKENDAHL RD
SPRING TX
77379-8112
US

IV. Provider business mailing address

17833 KUYKENDAHL RD
SPRING TX
77379-1109
US

V. Phone/Fax

Practice location:
  • Phone: 832-559-7808
  • Fax: 866-264-6751
Mailing address:
  • Phone: 832-559-7808
  • Fax: 866-264-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CALISTA NNABUIFE
Title or Position: PIC
Credential:
Phone: 281-536-4071