Organization Name: | FOREST HILL PHARMACY INC |
NPI Number: | 1003223041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KWABENA BONSU (PHARMACY MANAGER/OWNER) |
Mailing Address: | 3403 Mansfield Hwy Forest Hill |
State: | TX US |
Postal Code: | 761196027 |
Phone Number: | 8178879434 |
Fax Number: | 8178879436 |
NPI Enumeration Date: | 07/22/2014 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 29368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |