Provider Demographics
NPI:1649605700
Name:MEYERLAND PHARMACY, LLC
Entity type:Organization
Organization Name:MEYERLAND PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALAA
Authorized Official - Middle Name:JAMAL
Authorized Official - Last Name:ABUTAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-261-0994
Mailing Address - Street 1:10547 S POST OAK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-3305
Mailing Address - Country:US
Mailing Address - Phone:713-728-8000
Mailing Address - Fax:713-728-8003
Practice Address - Street 1:10547 S POST OAK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3305
Practice Address - Country:US
Practice Address - Phone:713-728-8000
Practice Address - Fax:713-728-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX286943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy