MEDICARE: SOUTH POST OAK 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
1	3336C0003X	Community/Retail Pharmacy	18231	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

General Provider Information

NPI Number	:	1801910997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH POST OAK PHARMACY

Provider Business Mailing Address
First Line	:	14206 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-5234
Country	:	US
Telephone Number	:	713-433-7075
Fax Number	:	713-433-5574

Provider Business Practice Location Address
First Line	:	14206 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-5234
Country	:	US
Telephone Number	:	713-433-7075
Fax Number	:	713-433-5574

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHARLES AHAIWE
Credential	:
Telephone Number	:	713-433-7075

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	08/22/2020

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Directions to “SOUTH POST OAK PHARMACY ” Practice Location

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