Provider Demographics
NPI:1912259169
Name:KL & AC INC
Entity Type:Organization
Organization Name:KL & AC INC
Other - Org Name:C & P PHARMACY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHENA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-835-9494
Mailing Address - Street 1:15948 S POST OAK RD
Mailing Address - Street 2:STE. C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77053-3645
Mailing Address - Country:US
Mailing Address - Phone:281-835-9494
Mailing Address - Fax:281-835-9433
Practice Address - Street 1:15948 S POST OAK RD
Practice Address - Street 2:STE. C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-3645
Practice Address - Country:US
Practice Address - Phone:281-835-9494
Practice Address - Fax:281-835-9433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFC3468572OtherDEA REGISTRATION