| Magnolia Pharmacy Inc | |
|
18230 Fm 1488 Rd Suite 100 Magnolia TX 77354-4529 | |
| (281) 356-9089 | |
| (281) 356-9659 |
| Full Name | Magnolia Pharmacy Inc |
|---|---|
| Speciality | Pharmacy |
| Location | 18230 Fm 1488 Rd, Magnolia, Texas |
| Authorized Official Name and Position | Steven C Hoffart (PRESIDENT) |
| Authorized Official Contact | 2813569089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Pharmacy Inc 18230 Fm 1488 Rd Suite 100 Magnolia TX 77354-4529 Ph: (281) 356-9089 | Magnolia Pharmacy Inc 18230 Fm 1488 Rd Suite 100 Magnolia TX 77354-4529 Ph: (281) 356-9089 |
| NPI Number | 1003807843 |
|---|---|
| Provider Enumeration Date | 11/01/2005 |
| Last Update Date | 03/16/2025 |
| Medicare PECOS PAC ID | 7214849777 |
|---|---|
| Medicare Enrollment ID | O20031103000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003807843 | NPI | - | NPPES |
| 154799403 | Medicaid | TX | |
| 22265 | Other | TX | TEXAS PHARMACY LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 333600000X | Pharmacy | 22265 (Texas) | Secondary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | 22265 (Texas) | Primary |
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Randall D. Walker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 Magnolia Blvd Ste 6, Magnolia, TX 77355 Phone: 281-356-2900 Fax: 281-356-5830 | |
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