Provider Information for 1689065138
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BLACKSEA PHARMACEUTICALS INC
Other Names:Doing Business As:MEDICX PHARMACYOrganization Subpart: NO
NPI: 1689065138
Last Updated: 2023-11-15
Certification Date: 2023-11-15
Certification Date: 2023-11-15
Details
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NPI | 1689065138 | ||||||||||||
Enumeration Date | 2015-02-05 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: AKWASI AMANKWAAH Title: Officer Phone: 2815946027 | ||||||||||||
Mailing Address | 8433 FM 1464 RD STE S RICHMOND, TX 77407-1103 United States Phone: 281-594-6027 | Fax: | ||||||||||||
Primary Practice Address | 8433 FM 1464 RD STE S RICHMOND, TX 77407-1103 United States Phone: 281-594-6027 | Fax: | ||||||||||||
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