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NPI Code Detail

MEDICARE: ENG S PHARMACY LLC

MEDICARE: ENG S PHARMACY LLC
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
23336C0003XCommunity/Retail Pharmacy27073TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15901283OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1912216748
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENG S PHARMACY LLC
Provider Business Mailing Address
First Line : PO BOX 2686
Second Line :
City : STAFFORD
State : TX
Zip : 77497-2686
Country : US
Telephone Number : 713-695-1473
Fax Number : 713-692-2320
Provider Business Practice Location Address
First Line : 4710 KATY FWY
Second Line : ROOM # 1
City : HOUSTON
State : TX
Zip : 77007-2204
Country : US
Telephone Number : 713-695-1473
Fax Number : 713-692-2320
Authorized Official
Title or Position : MANAGER
Name : WAI-CHUNG NG
Credential :
Telephone Number : 713-695-1473
Provider Enumeration Date : 09/28/2010
Last Update Date : 08/06/2012

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Directions to “ENG S PHARMACY LLC ” Practice Location

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