KS PHARM LLC
15655 Cypress Woods Medical Dr Ste 150
Houston, TX 77014
713-442-1779
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
470959 | TX | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4576267 | OTHER |