Provider Demographics
NPI:1861710360
Name:ELEVENTH LETTER MANAGEMENT INC.
Entity type:Organization
Organization Name:ELEVENTH LETTER MANAGEMENT INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:AKANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-541-1393
Mailing Address - Street 1:2905 MANGUM RD.
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092
Mailing Address - Country:US
Mailing Address - Phone:713-541-1393
Mailing Address - Fax:713-541-4285
Practice Address - Street 1:2905 MANGUM RD.
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092
Practice Address - Country:US
Practice Address - Phone:713-541-1393
Practice Address - Fax:713-541-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2013-10-10
Deactivation Date:2010-07-21
Deactivation Code:
Reactivation Date:2010-08-17
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX269073336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5900041OtherNCPDP PROVIDER IDENTIFICATION NUMBER