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NPI Code Detail

MEDICARE: MINU RX LTD

MEDICARE: MINU RX 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
1333600000XPharmacy
23336C0004XCompounding Pharmacy
33336C0003XCommunity/Retail Pharmacy18996TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12103513OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831232149
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINU RX LTD
Provider Business Mailing Address
First Line : PO BOX 88410
Second Line :
City : HOUSTON
State : TX
Zip : 77288-0410
Country : US
Telephone Number : 713-523-7847
Fax Number : 713-490-5538
Provider Business Practice Location Address
First Line : 2918 SAN JACINTO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77004-2708
Country : US
Telephone Number : 713-523-7847
Fax Number : 713-490-5538
Authorized Official
Title or Position : PIC
Name : KHYATI UNDAVIA
Credential :
Telephone Number : 713-256-0747
Provider Enumeration Date : 02/15/2007
Last Update Date : 08/16/2019

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Directions to “MINU RX LTD ” Practice Location

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