<Unavail>

LBN: Eliz Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 4800 Sugar Grove Blvd Ste 385 , Stafford TX 77477-2930. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Eliz Pharmacy Llc can be contacted via phone (832) 886-4526, or through Acha, Houston Kenneth Willigton via phone (832) 518-0123.

Contact Information

Primary practice address
4800 Sugar Grove Blvd Ste 385 Stafford TX 77477-2930
Phone: (832) 886-4526
Fax: (346) 874-7183
Website:
Map and Directions
Authorized official contact:
Name: Acha, Houston Kenneth Willigton PHARMD,RPH
Phone: (832) 518-0123

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1770115131
LBN Legal business name Eliz Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Acha, Houston Kenneth Willigton PHARMD,RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2020
Last updated Jun 10th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770115131 NPPES
Texas MEDICAID 150195

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