Provider Demographics
NPI:1316154818
Name:MEDI-PLUS PHARMACY
Entity type:Organization
Organization Name:MEDI-PLUS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-286-1304
Mailing Address - Street 1:PO BOX 546
Mailing Address - Street 2:
Mailing Address - City:BARKER
Mailing Address - State:TX
Mailing Address - Zip Code:77413-0546
Mailing Address - Country:US
Mailing Address - Phone:832-286-1304
Mailing Address - Fax:
Practice Address - Street 1:3845 FM 1960 RD W
Practice Address - Street 2:SUITE 191
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3531
Practice Address - Country:US
Practice Address - Phone:832-286-1304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty