MEDICARE: PARKWAY 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	183500000X	Pharmacist	23745	TX

General Provider Information

NPI Number	:	1902011737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKWAY PHARMACY

Provider Business Mailing Address
First Line	:	150 W PARKER RD
Second Line	:	SUITE 105
City	:	HOUSTON
State	:	TX
Zip	:	77076-2951
Country	:	US
Telephone Number	:	713-742-5200
Fax Number	:	713-742-5212

Provider Business Practice Location Address
First Line	:	150 W PARKER RD
Second Line	:	SUITE 105
City	:	HOUSTON
State	:	TX
Zip	:	77076-2951
Country	:	US
Telephone Number	:	713-742-5200
Fax Number	:	713-742-5212

Authorized Official
Title or Position	:	OWENER
Name	:	ROBIN MICHELLE ELLIOTT
Credential	:
Telephone Number	:	713-742-5200

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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Directions to “PARKWAY PHARMACY ” Practice Location

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