Provider Demographics
NPI:1871158287
Name:HOUZE CALLS PHARMACISTS LLC
Entity type:Organization
Organization Name:HOUZE CALLS PHARMACISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAWUENYEGA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:314-607-2603
Mailing Address - Street 1:9944 W FLORISSANT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-1432
Mailing Address - Country:US
Mailing Address - Phone:314-868-3333
Mailing Address - Fax:314-867-2330
Practice Address - Street 1:9944 W FLORISSANT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-1432
Practice Address - Country:US
Practice Address - Phone:314-868-3333
Practice Address - Fax:314-867-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7454OtherMEDICARE NUMBER