NPI 1619358967 · live from the CMS NPI Registry
3d&S Supreme Pharmacy
Pharmacy in Conroe, TX. National Provider Identifier 1619358967, active.
NPI record
| NPI | 1619358967 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 203 E Davis St, Conroe, TX 77301 |
| Practice phone | 936-494-3781 |
| Enumerated | June 12, 2015 |
| Last updated | July 10, 2015 |
| Authorized official | Esther Njibamum, Pharmacist In Charge |
| Other names | 3d&S Supreme Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | 29914 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.