1831525013 NPI number — L & A PHARMACEUTICALS

Table of content: (NPI 1831525013)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831525013 NPI number — L & A PHARMACEUTICALS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
L & A PHARMACEUTICALS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NOELAS PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831525013
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5868 WESTHEIMER RD
Provider Second Line Business Mailing Address:
507
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77057-5641
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-789-0488
Provider Business Mailing Address Fax Number:
713-789-0487

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6423 RICHMOND AVE
Provider Second Line Business Practice Location Address:
SUITE G
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-789-0488
Provider Business Practice Location Address Fax Number:
713-789-0487
Provider Enumeration Date:
09/19/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
ASHLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/OFFICER
Authorized Official Telephone Number:
713-789-0488

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  28683 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)