Provider Demographics
NPI:1952468308
Name:ACE PHARMACY INC
Entity Type:Organization
Organization Name:ACE PHARMACY INC
Other - Org Name:FAMEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-640-9682
Mailing Address - Street 1:3014 GARROW ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-2364
Mailing Address - Country:US
Mailing Address - Phone:713-204-8753
Mailing Address - Fax:713-640-9689
Practice Address - Street 1:5631 TELEPHONE RD
Practice Address - Street 2:STE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087
Practice Address - Country:US
Practice Address - Phone:713-640-9682
Practice Address - Fax:713-640-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX252663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4543698OtherOTHER ID NUMBER-COMMERCIAL NUMBER