NPI 1689399362 · live from the CMS NPI Registry
A 1 Pharmacy
Pharmacy in Conroe, TX. National Provider Identifier 1689399362, active.
NPI record
| NPI | 1689399362 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 10161 Tx 242, Suite 130, Conroe, TX 77385 |
| Practice phone | 936-224-5387 |
| Mailing address | 10161 State Hwy 242, Suite 130, Conroe, TX 77385 |
| Enumerated | October 5, 2022 |
| Last updated | August 6, 2024 |
| Authorized official | Karina Guzman, Managing Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy primary | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.