Provider Demographics
NPI:1174223317
Name:MI-MEDS PHARMACY LLC
Entity type:Organization
Organization Name:MI-MEDS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:HIEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-312-8802
Mailing Address - Street 1:4815 MESQUITE MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3237
Mailing Address - Country:US
Mailing Address - Phone:832-312-8802
Mailing Address - Fax:
Practice Address - Street 1:18021 LONGENBAUGH RD. STE 4A
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:346-551-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy