1942484746 NPI number — KARSAN CORPORATION

Table of content: (NPI 1942484746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942484746 NPI number — KARSAN CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KARSAN CORPORATION
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:
MIT 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:
1942484746
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11504 BAY CROSSING DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEARLAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77584-8182
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-436-0252
Provider Business Mailing Address Fax Number:
281-741-5107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11226 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77031-3604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-530-9050
Provider Business Practice Location Address Fax Number:
281-530-8850
Provider Enumeration Date:
12/28/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
SANTANA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-502-4661

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  27064 , 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)

  • Identifier: 4546959 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".