Provider Demographics
NPI:1770191991
Name:GEORGE, JOSSY JOHNY (PHARM D)
Entity Type:Individual
Prefix:
First Name:JOSSY
Middle Name:JOHNY
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5923 NINE MILE LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2590
Mailing Address - Country:US
Mailing Address - Phone:832-374-2992
Mailing Address - Fax:
Practice Address - Street 1:9929 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4149
Practice Address - Country:US
Practice Address - Phone:281-835-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty