MEDICARE: CN 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	333600000X	Pharmacy	19698	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4509747	OTHER		NCPDP

General Provider Information

NPI Number	:	1578556593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CN PHARMACY INC

Provider Business Mailing Address
First Line	:	6459 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-3101
Country	:	US
Telephone Number	:	713-777-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6459 HILLCROFT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-3101
Country	:	US
Telephone Number	:	713-777-2100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YING YING PING WOOD
Credential	:	MD
Telephone Number	:	713-777-1117

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	08/22/2020

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Directions to “CN PHARMACY INC ” Practice Location

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