| NPI | 1962413450 |
|---|---|
| Doing Business As | WASHINGTON AVE PHARMACY CENTER |
| Entity Type | Organization |
| Authorized Contact | CYPRIAN EZEUDE Presdent 713-864-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 17518) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-04-05 |