Provider Demographics
NPI:1679743694
Name:ALPHINA INC
Entity type:Organization
Organization Name:ALPHINA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-240-8111
Mailing Address - Street 1:12946 DAIRY ASHFORD RD
Mailing Address - Street 2:STE 460
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3161
Mailing Address - Country:US
Mailing Address - Phone:281-240-8111
Mailing Address - Fax:281-240-8121
Practice Address - Street 1:830 JULIE RIVERS DR STE 403
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2877
Practice Address - Country:US
Practice Address - Phone:281-240-8111
Practice Address - Fax:281-240-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX259153336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2101191OtherPK