MEDICARE: AVALON UNITED DRUGS

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	02565	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4522000	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992819981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVALON UNITED DRUGS

Provider Business Mailing Address
First Line	:	2427 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2427 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1319
Country	:	US
Telephone Number	:	713-524-2101
Fax Number	:	713-524-7882

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILBORN MORRIS
Credential	:	RPH
Telephone Number	:	713-524-2101

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	09/11/2025

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