Provider Demographics
NPI:1871813238
Name:D & G PHARMACY
Entity type:Organization
Organization Name:D & G PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER (PIC)
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-283-9025
Mailing Address - Street 1:6121 HILLCROFT ST STE J
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1007
Mailing Address - Country:US
Mailing Address - Phone:832-968-4211
Mailing Address - Fax:832-968-4376
Practice Address - Street 1:6121 HILLCROFT ST STE J
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1007
Practice Address - Country:US
Practice Address - Phone:832-968-4211
Practice Address - Fax:832-968-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2018-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX269343336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3336C0003XOtherPHARMACY