Provider Demographics
NPI:1114202801
Name:BELCHAN CORPORATION
Entity type:Organization
Organization Name:BELCHAN CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:OGBEVOEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIAKHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-274-9077
Mailing Address - Street 1:9504 LONG POINT RD
Mailing Address - Street 2:SUITE L
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4226
Mailing Address - Country:US
Mailing Address - Phone:713-465-2300
Mailing Address - Fax:713-465-2303
Practice Address - Street 1:9504 LONG POINT RD STE L
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4226
Practice Address - Country:US
Practice Address - Phone:713-465-2300
Practice Address - Fax:713-465-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-13
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX276453336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2132920OtherPK