Provider Demographics
NPI:1326390790
Name:ENTELVU ENTERPRISES, INC.
Entity Type:Organization
Organization Name:ENTELVU ENTERPRISES, INC.
Other - Org Name:WESTCHASE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-339-3667
Mailing Address - Street 1:9701 RICHMOND AVE STE 265
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4633
Mailing Address - Country:US
Mailing Address - Phone:713-339-3667
Mailing Address - Fax:
Practice Address - Street 1:9701 RICHMOND AVE STE 265
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4633
Practice Address - Country:US
Practice Address - Phone:713-339-3667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy