Provider Demographics
NPI:1780475368
Name:WHITE HEART PHARMACY INC LTC
Entity type:Organization
Organization Name:WHITE HEART PHARMACY INC LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.I.C
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:O
Authorized Official - Last Name:OBINZU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-688-8384
Mailing Address - Street 1:9720 JONES RD STE 280
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4772
Mailing Address - Country:US
Mailing Address - Phone:832-688-8384
Mailing Address - Fax:832-688-8541
Practice Address - Street 1:9720 JONES RD STE 280
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4772
Practice Address - Country:US
Practice Address - Phone:832-688-8384
Practice Address - Fax:832-688-8541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy