Provider Demographics
NPI:1598364721
Name:DRUKER, ILANA
Entity Type:Individual
Prefix:
First Name:ILANA
Middle Name:
Last Name:DRUKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 GESSNER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-5006
Mailing Address - Country:US
Mailing Address - Phone:713-467-9425
Mailing Address - Fax:713-467-0406
Practice Address - Street 1:2300 GESSNER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-5006
Practice Address - Country:US
Practice Address - Phone:713-467-9425
Practice Address - Fax:713-467-0406
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX424261835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist