Provider Demographics
NPI:1639655996
Name:TOPAK PHARMACEUTICAL INC
Entity Type:Organization
Organization Name:TOPAK PHARMACEUTICAL INC
Other - Org Name:VICTORY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELPHINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MITIMA-SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PHARMD, MBA,
Authorized Official - Phone:281-741-3506
Mailing Address - Street 1:12315 BELLAIRE BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2557
Mailing Address - Country:US
Mailing Address - Phone:281-741-3506
Mailing Address - Fax:281-741-9008
Practice Address - Street 1:12315 BELLAIRE BLVD STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2557
Practice Address - Country:US
Practice Address - Phone:281-741-3506
Practice Address - Fax:281-741-9008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOPAK PHARMACEUTICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-19
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy