MEDICARE: EL NALON INC

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	25271	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4543282	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1063588721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL NALON INC

Provider Business Mailing Address
First Line	:	6060 BELLAIRE BLVD
Second Line	:	STE J
City	:	HOUSTON
State	:	TX
Zip	:	77081-5425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 BELLAIRE BLVD
Second Line	:	STE J
City	:	HOUSTON
State	:	TX
Zip	:	77081-5425
Country	:	US
Telephone Number	:	713-432-7300
Fax Number	:	713-432-7305

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	ALFREDO FARPON
Credential	:
Telephone Number	:	832-889-1456

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	08/22/2020

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Directions to “EL NALON INC ” Practice Location

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