Provider Demographics
NPI:1295470557
Name:PELICAN PHARMACEUTICALS
Entity type:Organization
Organization Name:PELICAN PHARMACEUTICALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:LANISE
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-363-3700
Mailing Address - Street 1:7830 W GRAND PKWY S STE 160
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5817
Mailing Address - Country:US
Mailing Address - Phone:832-363-3700
Mailing Address - Fax:832-945-3643
Practice Address - Street 1:7830 W GRAND PKWY S STE 160
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5817
Practice Address - Country:US
Practice Address - Phone:832-363-3700
Practice Address - Fax:832-945-3643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy