Custom Care Pharmacy
LBN: Custom Care Pharmacy Llc
Custom Care Pharmacy is an health care organization with primary practice located at 20320 Northwest Fwy Ste 300 , Jersey Village TX 77065-5643. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Custom Care Pharmacy Llc can be contacted via phone (832) 688-9666, or through Landry, Carmalita via phone (832) 508-4799.
Contact Information
Primary practice address
20320 Northwest Fwy Ste 300
Jersey Village TX 77065-5643
Phone: (832) 688-9666
Fax: (832) 604-7291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 31300 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1861935389 |
|---|---|
| LBN Legal business name | Custom Care Pharmacy Llc |
| DBA Doing business as | Custom Care Pharmacy |
| Authorized official | Landry, Carmalita |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2016 |
| Last updated | Aug 26th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861935389 | NPPES |
| Texas | MEDICAID | 394653501 | |
| Texas | Other | 7656600001 | |
| Texas | Other | 2166614 |
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