Provider Demographics
NPI:1073153011
Name:FALCON PHARMACY OF TEXAS #2, INC
Entity Type:Organization
Organization Name:FALCON PHARMACY OF TEXAS #2, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-208-7401
Mailing Address - Street 1:2435 TEXAS PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4061
Mailing Address - Country:US
Mailing Address - Phone:281-208-7401
Mailing Address - Fax:281-208-7603
Practice Address - Street 1:2435 TEXAS PKWY STE B
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4061
Practice Address - Country:US
Practice Address - Phone:281-208-7401
Practice Address - Fax:281-208-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy