Provider Demographics
NPI:1881191534
Name:STE. F
Entity Type:Organization
Organization Name:STE. F
Other - Org Name:AVID PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:OBUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-781-7436
Mailing Address - Street 1:13630 VETERANS MEMORIAL DR STE F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1054
Mailing Address - Country:US
Mailing Address - Phone:281-781-7436
Mailing Address - Fax:832-446-6783
Practice Address - Street 1:13630 VETERANS MEMORIAL DR STE F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1054
Practice Address - Country:US
Practice Address - Phone:281-781-7436
Practice Address - Fax:832-446-6783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX316333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2176344OtherPK