KS PHARM LLC
1111 Augusta
Houston, TX 77057
713-442-2450
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
Y | 3336C0002X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 4561545 | OTHER | |
470963 | TX | MEDICAID |