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NPI Code Detail

MEDICARE: FOUNTAINVIEW PHARMACY

MEDICARE: FOUNTAINVIEW PHARMACY
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
1333600000XPharmacy26431TX

General Provider Information

NPI Number : 1346476470
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOUNTAINVIEW PHARMACY
Provider Business Mailing Address
First Line : 3013 FOUNTAIN VIEW DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77057-6132
Country : US
Telephone Number : 713-784-2112
Fax Number : 713-784-4310
Provider Business Practice Location Address
First Line : 3013 FOUNTAINVIEW
Second Line : SUITE #A
City : HOUSTON
State : TX
Zip : 77057-6137
Country : US
Telephone Number : 713-784-2112
Fax Number : 713-784-4310
Authorized Official
Title or Position : MANAGER
Name : RUBEN E. DAVIS
Credential :
Telephone Number : 713-784-2112
Provider Enumeration Date : 06/03/2009
Last Update Date : 06/03/2009

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Directions to “FOUNTAINVIEW PHARMACY ” Practice Location

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