Provider Demographics
NPI:1578867099
Name:FELICIA RENEE YOUNG
Entity Type:Organization
Organization Name:FELICIA RENEE YOUNG
Other - Org Name:HEALTHCHOICE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MG
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-741-8358
Mailing Address - Street 1:10001 W BELLFORT ST
Mailing Address - Street 2:STE. K
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2559
Mailing Address - Country:US
Mailing Address - Phone:281-741-8358
Mailing Address - Fax:281-741-8486
Practice Address - Street 1:10001 W BELLFORT ST STE K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2559
Practice Address - Country:US
Practice Address - Phone:281-741-8358
Practice Address - Fax:281-741-8486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-23
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX273043336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5902172OtherNCPDP PROVIDER IDENTIFICATION NUMBER