KS PHARM LLC
2727 W Holcombe Blvd Ste 110
Houston, TX 77025
713-442-0079
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
470969 | TX | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4522226 | OTHER |