=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013203009
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HAMZATU A SONII
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2011
-----------------------------------------------------
Last Update Date | 07/02/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15000 BELLAIRE BLVD STE D
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77083-2514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-575-6000
-----------------------------------------------------
Fax | 281-575-6018
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15000 BELLAIRE BLVD STE D
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77083-2514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-575-6000
-----------------------------------------------------
Fax | 281-575-6018
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACIST-IN-CHARGE
-----------------------------------------------------
Name | ALPHA SONII
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-575-6000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 27526
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------