Provider Demographics
NPI:1790254357
Name:E-MED PHARMACY 2 LLC
Entity Type:Organization
Organization Name:E-MED PHARMACY 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KEKII
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-276-4506
Mailing Address - Street 1:5218 ALDEN SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6802
Mailing Address - Country:US
Mailing Address - Phone:314-276-4506
Mailing Address - Fax:
Practice Address - Street 1:6121 HILLCROFT ST STE K2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1007
Practice Address - Country:US
Practice Address - Phone:314-276-4506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy