D/B/A PECAN PARK PHARMACY
NPI 1144669094
Pharmacy in Houston, TX

Active since June 24, 2013
5537 LAWNDALE ST, HOUSTON, TX 77023(713) 514-8028 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy

About D/B/A PECAN PARK PHARMACY

This page provides the complete NPI Profile along with additional information for D/b/a Pecan Park Pharmacy, a provider established in Houston, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1144669094 assigned on June 2013. The practitioner's primary taxonomy code is 333600000X with license number 28578 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as D/b/a Pecan Park Pharmacy. The authorized official of this NPI record is Mrs. Lizyamma A Bose (President)

NPI
1144669094 Verify this NPI
Provider Legal Name
MANTRA INVESTMENTS INC.
Other Organization Name
D/B/A PECAN PARK PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5537 LAWNDALE ST HOUSTON, TX 77023
Location Phone
(713) 514-8028
Mailing Address
6315 COOL WATER DR SUGAR LAND, TX 77479
Mailing Phone
(281) 565-5921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2013
Last Update Date
06-24-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
28578
License State
TX
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LIZYAMMA A BOSE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(281) 565-5921

Reviews for D/B/A PECAN PARK PHARMACY

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
5537 LAWNDALE ST
HOUSTON, TX 77023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144669094, enumerated as an "organization" on June 24, 2013.

The provider is located at 5537 LAWNDALE ST HOUSTON, TX 77023 and the phone number is (713) 514-8028.

Pharmacy with taxonomy code 333600000X.