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NPI Code Detail

MEDICARE: K2PHARMACY

MEDICARE: K2PHARMACY
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
1333600000XPharmacy25747TX

General Provider Information

NPI Number : 1467724328
Entity Type Code : Organization
Provider Name (Legal Business Name) : K2PHARMACY
Provider Business Mailing Address
First Line : 1348 FEDERAL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77015-6714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1348 FEDERAL RD
Second Line :
City : HOUSTON
State : TX
Zip : 77015-6714
Country : US
Telephone Number : 713-453-9103
Fax Number : 713-453-9102
Authorized Official
Title or Position : OWNER
Name : KENNETH RAY HOPKINS
Credential :
Telephone Number : 713-453-9103
Provider Enumeration Date : 02/07/2012
Last Update Date : 02/07/2012

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Directions to “K2PHARMACY ” Practice Location

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