| NPI | 1831232149 |
|---|---|
| Doing Business As | MEMORIAL WELLNESS PHARMACY |
| Doing Business As | MEMORIAL COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KHYATI UNDAVIA PIC 713-256-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 18996) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2019-08-16 |