Provider Demographics
NPI:1649559923
Name:DEKA PHARMACEUTICALS INC
Entity Type:Organization
Organization Name:DEKA PHARMACEUTICALS 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:CHIKAMELE
Authorized Official - Last Name:AMUNEKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:409-350-8167
Mailing Address - Street 1:9896 BISSONNET ST
Mailing Address - Street 2:STE 130
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8104
Mailing Address - Country:US
Mailing Address - Phone:409-350-8167
Mailing Address - Fax:
Practice Address - Street 1:9896 BISSONNET ST
Practice Address - Street 2:STE 130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8104
Practice Address - Country:US
Practice Address - Phone:409-350-8167
Practice Address - Fax:713-661-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy