Provider Demographics
NPI:1578556593
Name:CN PHARMACY INC
Entity Type:Organization
Organization Name:CN PHARMACY INC
Other - Org Name:VALU RITE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YING YING
Authorized Official - Middle Name:PING
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-777-1117
Mailing Address - Street 1:6459 HILLCROFT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3101
Mailing Address - Country:US
Mailing Address - Phone:713-777-2100
Mailing Address - Fax:
Practice Address - Street 1:6459 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3101
Practice Address - Country:US
Practice Address - Phone:713-777-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19698333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144889Medicaid
4509747OtherNCPDP