MEDICARE: JAMPEM ENTERPISE LTD

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	26278	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4548218	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1538335815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMPEM ENTERPISE LTD

Provider Business Mailing Address
First Line	:	8503 GULF FWY
Second Line	:	STE E
City	:	HOUSTON
State	:	TX
Zip	:	77017-5086
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8503 GULF FWY
Second Line	:	STE E
City	:	HOUSTON
State	:	TX
Zip	:	77017-5086
Country	:	US
Telephone Number	:	713-378-4450
Fax Number	:	713-378-4455

Authorized Official
Title or Position	:	PIC
Name	:	EMEAKOROHA OPHELIA
Credential	:	RPH
Telephone Number	:	713-378-4450

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	02/11/2009

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Directions to “JAMPEM ENTERPISE LTD ” Practice Location

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