MEDICARE: CANAL RX

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	183500000X	Pharmacist	19001	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083740195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANAL RX

Provider Business Mailing Address
First Line	:	3311 CANAL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-1847
Country	:	US
Telephone Number	:	713-457-0752
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 CANAL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-1847
Country	:	US
Telephone Number	:	713-457-0752
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	ARMANDO CADENA
Credential	:	R.PH.
Telephone Number	:	713-547-0752

Provider Enumeration Date	:	02/25/2007
Last Update Date	:	05/04/2017

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Directions to “CANAL RX ” Practice Location

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