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St Michael's Pharmacy Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
ST MICHAEL'S PHARMACY LLC11741025862021-04-04

The organization St Michael's Pharmacy Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1174102586. Registration indicates St Michael's Pharmacy Llc is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)

Entity TypeOrganization
Provider OrganizationST MICHAEL'S PHARMACY LLC
Practice Office Address5102 AVENUE H
ROSENBERG, TX US
Practice Office Telephone2812369776
Mailing Address514 RICHTER LN
RICHMOND, TX 774696228 US
Business Telephone1281236977
Authorized OfficialVINCENT OMOLEME, PHARMACIST-IN-C
2812369776
HPT Codes
CodePractice
License No
State
183500000X PRIMARY
Pharmacy Service Providers
Pharmacist
Pharmacist

Pharmacist
Pharmacy Service Providers
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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