NPI 1003144809

Shundalin Moniece Vincent

Practitioner Pharmacist Houston, TX

Practice location

Address: 11107 Market Street Rd, Houston, TX 77029-2301
Phone: (713) 451-9005
Fax: (713) 450-9685

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 38996 (TX)

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Registry record

NPI: 1003144809
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2009
Record last updated: 7 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.