Provider Demographics
NPI:1902011737
Name:PARKWAY PHARMACY
Entity Type:Organization
Organization Name:PARKWAY PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-742-5200
Mailing Address - Street 1:150 W PARKER RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-2951
Mailing Address - Country:US
Mailing Address - Phone:713-742-5200
Mailing Address - Fax:713-742-5212
Practice Address - Street 1:150 W PARKER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-2951
Practice Address - Country:US
Practice Address - Phone:713-742-5200
Practice Address - Fax:713-742-5212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty