Provider Demographics
NPI:1093258519
Name:LANDRY-OVID, CARMALITA MARIE (PHARM D; RPH)
Entity Type:Individual
Prefix:DR
First Name:CARMALITA
Middle Name:MARIE
Last Name:LANDRY-OVID
Suffix:
Gender:F
Credentials:PHARM D; RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20320 NORTHWEST FWY
Mailing Address - Street 2:SUITE#300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5641
Mailing Address - Country:US
Mailing Address - Phone:832-688-9666
Mailing Address - Fax:832-604-7291
Practice Address - Street 1:20320 NORTHWEST FWY
Practice Address - Street 2:SUITE#300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5641
Practice Address - Country:US
Practice Address - Phone:832-688-9666
Practice Address - Fax:832-604-7291
Is Sole Proprietor?:No
Enumeration Date:2016-12-01
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist