KS PHARM, LLC
25553 Us Highway 59
Porter, TX 77365
713-442-2179
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | TX | 19568 |
Y | 3336C0003X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
464896 | TX | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4586597 | OTHER |