Space City Pharmacy
LBN: Space City Pharmacy Llc
Space City Pharmacy is an health care organization with primary practice located at 902 S Friendswood Dr Ste E , Friendswood TX 77546-5154. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Space City Pharmacy Llc can be contacted via phone (832) 569-5062, or through Moore, Justin via phone (832) 569-5062.
Contact Information
Primary practice address
902 S Friendswood Dr Ste E
Friendswood TX 77546-5154
Phone: (832) 569-5062
Fax: (832) 569-5064
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1982253738 |
---|---|
LBN Legal business name | Space City Pharmacy Llc |
DBA Doing business as | Space City Pharmacy |
Authorized official | Moore, Justin |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 4th, 2019 |
Last updated | Jul 19th, 2021 - about 4 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 | 1982253738 | NPPES |
Texas | Other | 32841 | PHARMACY LICENSE |
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