NPI | 1639655996 |
---|---|
Doing Business As | VICTORY PHARMACY |
Entity Type | Organization |
Authorized Contact | DELPHINA C. MITIMA-SAMUEL President 281-741-3506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2018-07-19 |
Last Update Date | 2020-12-12 |