Provider Demographics
NPI:1922648013
Name:BELZIK PHARMACY LLC
Entity Type:Organization
Organization Name:BELZIK PHARMACY LLC
Other - Org Name:BELZIK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAORA
Authorized Official - Middle Name:SYLVIA
Authorized Official - Last Name:OTEGBULU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:832-287-0587
Mailing Address - Street 1:3029 SUNRISE RUN LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1897
Mailing Address - Country:US
Mailing Address - Phone:832-287-0587
Mailing Address - Fax:
Practice Address - Street 1:3927 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1200
Practice Address - Country:US
Practice Address - Phone:832-623-7314
Practice Address - Fax:832-623-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy