KS PHARM LLC
5001 E. Sam Houston Pkwy S.
Pasadena, TX 77505
713-442-7179
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
470968 | TX | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4576255 | OTHER |