Provider Demographics
NPI:1831412972
Name:QUEEN PHARMACY
Entity type:Organization
Organization Name:QUEEN PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUORAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-498-0705
Mailing Address - Street 1:1616 E GRIFFIN PKWY
Mailing Address - Street 2:#121
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3180
Mailing Address - Country:US
Mailing Address - Phone:956-661-8881
Mailing Address - Fax:956-661-8885
Practice Address - Street 1:1001 S 10TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5049
Practice Address - Country:US
Practice Address - Phone:956-661-8881
Practice Address - Fax:956-661-8885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3336C0003X3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy