Provider Demographics
NPI:1003450859
Name:PHARMACY PLACE LLC
Entity Type:Organization
Organization Name:PHARMACY PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:RITA
Authorized Official - Middle Name:IFY
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-962-4974
Mailing Address - Street 1:7330 SOUTHWEST FWY STE G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2178
Mailing Address - Country:US
Mailing Address - Phone:832-962-4974
Mailing Address - Fax:832-962-4924
Practice Address - Street 1:7330 SOUTHWEST FWY STE G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2178
Practice Address - Country:US
Practice Address - Phone:832-962-4774
Practice Address - Fax:832-962-4924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy