Provider Demographics
NPI:1578215356
Name:NAMULUNDU, BEVERLY (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:BEVERLY
Middle Name:
Last Name:NAMULUNDU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8409 HEMPSTEAD RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-6174
Mailing Address - Country:US
Mailing Address - Phone:713-382-5199
Mailing Address - Fax:
Practice Address - Street 1:25230 KINGSLAND BLVD STE 100
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2097
Practice Address - Country:US
Practice Address - Phone:281-721-4990
Practice Address - Fax:281-721-4991
Is Sole Proprietor?:No
Enumeration Date:2022-01-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46597183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist