MEDICARE: PARKER PHARMACY 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	23745	TX

General Provider Information

NPI Number	:	1134373616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER PHARMACY INC

Provider Business Mailing Address
First Line	:	415 W LITTLE YORK RD
Second Line	:	SUITE H
City	:	HOUSTON
State	:	TX
Zip	:	77076-1349
Country	:	US
Telephone Number	:	713-742-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 W LITTLE YORK RD
Second Line	:	SUITE H
City	:	HOUSTON
State	:	TX
Zip	:	77076-1349
Country	:	US
Telephone Number	:	713-742-5200
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GODFREY OGUJIOFOR
Credential	:
Telephone Number	:	713-742-5200

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	11/10/2008

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Directions to “PARKER PHARMACY INC ” Practice Location

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