Country Place Pharmacy
LBN: Truong Phan Enterprise Llc
Country Place Pharmacy is an health care organization with primary practice located at 2404 Smith Ranch Rd Ste 100 , Pearland TX 77584-5233. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Truong Phan Enterprise Llc can be contacted via phone (713) 436-3344, or through Phan, Chau via phone (832) 524-5427.
Contact Information
Primary practice address
2404 Smith Ranch Rd Ste 100
Pearland TX 77584-5233
Phone: (713) 436-3344
Fax: (713) 436-3803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 25799 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1205933041 |
|---|---|
| LBN Legal business name | Truong Phan Enterprise Llc |
| DBA Doing business as | Country Place Pharmacy |
| Authorized official | Phan, Chau |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1205933041 | NPPES |
| Texas | MEDICAID | 145559 | |
| Texas | Other | 4537897 |
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