Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Jan 19, 2026
License(s)
76250 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 9026 KERRY PRAIRIE LN | Richmond, TX 77407-2564 | |
| LOCATION | 4790 LEXINGTON BLVD | Missouri City, TX 77459-2800 | 281-499-5257 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.