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General NPI Number Information
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NPI Number | 1598025280
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Entity Type | Organization
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Legal Business Name | MONROE CARE PHARMACY LLC
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 8529 GULF FWY
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City | HOUSTON
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State | TX
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Zip | 77017-5055
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Country | US
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Telephone | 713-946-1535
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Fax | 713-946-1665
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Provider Business Mailing Address
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Address Line | 8529 GULF FWY
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City | HOUSTON
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State | TX
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Zip | 77017
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Country | UM
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Telephone | 713-946-1535
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Fax | 713-946-1665
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Authorized Official
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Title or Position | OWNER
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Name | LLOYD DAVID RANDALL
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Credential |
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Telephone | 713-946-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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