Provider Demographics
NPI:1356670715
Name:MY HEALTHY ACCESS PROVIDERS BISSONNET DISCOUNT PHARMACY
Entity Type:Organization
Organization Name:MY HEALTHY ACCESS PROVIDERS BISSONNET DISCOUNT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TONEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-261-3080
Mailing Address - Street 1:10101 BISSONNET ST
Mailing Address - Street 2:STE. A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7855
Mailing Address - Country:US
Mailing Address - Phone:832-483-2924
Mailing Address - Fax:
Practice Address - Street 1:10101 BISSONNET ST
Practice Address - Street 2:STE. A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7855
Practice Address - Country:US
Practice Address - Phone:832-483-2924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy