Provider Demographics
NPI:1114925260
Name:KLINE PHARMACEUTICAL SERVICES INC
Entity Type:Organization
Organization Name:KLINE PHARMACEUTICAL SERVICES INC
Other - Org Name:MED RITE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DELPHINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMUNEKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RPH,
Authorized Official - Phone:713-344-8475
Mailing Address - Street 1:9896 BISSONNET ST
Mailing Address - Street 2:134
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8104
Mailing Address - Country:US
Mailing Address - Phone:713-728-2222
Mailing Address - Fax:
Practice Address - Street 1:9896 BISSONNET ST
Practice Address - Street 2:134
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8104
Practice Address - Country:US
Practice Address - Phone:713-728-2222
Practice Address - Fax:713-728-2230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336L0003X
TX233783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4537568OtherNCPDP PROVIDER IDENTIFICATION NUMBER
TX145451Medicaid