Provider Demographics
NPI:1275841405
Name:BAIJES BISSONNET PHARMACY
Entity Type:Organization
Organization Name:BAIJES BISSONNET PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:IJEOMA
Authorized Official - Middle Name:CYNTHIA
Authorized Official - Last Name:UCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-974-3573
Mailing Address - Street 1:9801 BISSONNET ST STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8224
Mailing Address - Country:US
Mailing Address - Phone:281-974-3573
Mailing Address - Fax:
Practice Address - Street 1:9801 BISSONNET ST STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8224
Practice Address - Country:US
Practice Address - Phone:281-974-3573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty