Provider Demographics
NPI:1437820586
Name:CHOICE PHARMACY INC.
Entity Type:Organization
Organization Name:CHOICE PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GLORY
Authorized Official - Middle Name:UZUNMA
Authorized Official - Last Name:NOSIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-778-0463
Mailing Address - Street 1:9935 BISSONNET ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8413
Mailing Address - Country:US
Mailing Address - Phone:713-778-0463
Mailing Address - Fax:713-778-0573
Practice Address - Street 1:9935 BISSONNET ST UNIT B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8413
Practice Address - Country:US
Practice Address - Phone:713-778-0463
Practice Address - Fax:713-778-0573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14651101Medicaid