Provider Demographics
NPI:1356005946
Name:BIONX PHARMACEUTICAL LLC
Entity Type:Organization
Organization Name:BIONX PHARMACEUTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHENGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHAMD
Authorized Official - Phone:281-513-2529
Mailing Address - Street 1:2530 SUNRISE HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3247
Mailing Address - Country:US
Mailing Address - Phone:281-513-2529
Mailing Address - Fax:
Practice Address - Street 1:10950 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1716
Practice Address - Country:US
Practice Address - Phone:281-513-2529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare