Provider Demographics
NPI:1467742585
Name:EXCEL PHARMACY INC.
Entity Type:Organization
Organization Name:EXCEL PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ADANNA
Authorized Official - Last Name:METU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, PHARM D
Authorized Official - Phone:832-640-2842
Mailing Address - Street 1:8600 W AIRPORT BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2482
Mailing Address - Country:US
Mailing Address - Phone:713-995-1272
Mailing Address - Fax:713-995-1274
Practice Address - Street 1:8600 W AIRPORT BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2482
Practice Address - Country:US
Practice Address - Phone:713-995-1272
Practice Address - Fax:713-995-1274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX274353336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy