Provider Demographics
NPI:1013203009
Name:HAMZATU A SONII
Entity Type:Organization
Organization Name:HAMZATU A SONII
Other - Org Name:GODERICH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ALPHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SONII
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-575-6000
Mailing Address - Street 1:15000 BELLAIRE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-2514
Mailing Address - Country:US
Mailing Address - Phone:281-575-6000
Mailing Address - Fax:281-575-6018
Practice Address - Street 1:15000 BELLAIRE BLVD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-2514
Practice Address - Country:US
Practice Address - Phone:281-575-6000
Practice Address - Fax:281-575-6018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX275263336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130869OtherPK