MEDICARE: DOLLAR VALUE PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	27230	TX

General Provider Information

NPI Number	:	1043513104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOLLAR VALUE PHARMACY

Provider Business Mailing Address
First Line	:	7118 HARRISBURG BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4735
Country	:	US
Telephone Number	:	281-568-1545
Fax Number	:	281-568-1547

Provider Business Practice Location Address
First Line	:	2107 WATER CANYON CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1945
Country	:	US
Telephone Number	:	832-366-3482
Fax Number	:	281-568-1547

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. PREYE J YELLOWE
Credential	:
Telephone Number	:	832-366-3482

Provider Enumeration Date	:	12/13/2010
Last Update Date	:	04/03/2017

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Directions to “DOLLAR VALUE PHARMACY ” Practice Location

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