Provider Demographics
NPI:1831532415
Name:MADONNA PHARMACY INC
Entity type:Organization
Organization Name:MADONNA PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:OCHUKA
Authorized Official - Last Name:NJIGHA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-597-9434
Mailing Address - Street 1:6014 COUNTRY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6244
Mailing Address - Country:US
Mailing Address - Phone:832-597-9434
Mailing Address - Fax:713-935-9801
Practice Address - Street 1:10333 HARWIN DR
Practice Address - Street 2:STE 450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1545
Practice Address - Country:US
Practice Address - Phone:832-831-8114
Practice Address - Fax:832-831-8116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy