Provider Demographics
NPI:1487191383
Name:BETEX PHARMACY
Entity Type:Organization
Organization Name:BETEX PHARMACY
Other - Org Name:BETEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUORJI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:281-741-2914
Mailing Address - Street 1:13948A WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5359
Mailing Address - Country:US
Mailing Address - Phone:281-741-2914
Mailing Address - Fax:281-741-2016
Practice Address - Street 1:13948A WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5359
Practice Address - Country:US
Practice Address - Phone:281-741-2914
Practice Address - Fax:281-741-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX312003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2168108OtherPK