MEDICARE: CHARLENE OFFIONG PHARMD

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	33328	TX

General Provider Information

NPI Number	:	1104210624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLENE OFFIONG PHARMD

Provider Business Mailing Address
First Line	:	3880 GREENHOUSE RD STE 402
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3486
Country	:	US
Telephone Number	:	281-492-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	3880 GREENHOUSE RD STE 402
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3486
Country	:	US
Telephone Number	:	281-492-1335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2015
Last Update Date	:	03/23/2015

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Directions to “ CHARLENE OFFIONG PHARMD” Practice Location

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