MEDICARE: ANNE MORAA OMUNDI RPH

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	70743	TX

General Provider Information

NPI Number	:	1184350977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MORAA OMUNDI RPH

Provider Business Mailing Address
First Line	:	7601 N SAM HOUSTON PKWY W STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-3595
Country	:	US
Telephone Number	:	877-562-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	7601 N SAM HOUSTON PKWY W STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-3595
Country	:	US
Telephone Number	:	877-562-8577
Fax Number	:

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

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	07/03/2023

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