Faust Ltc Pharmacy Inc

NPI 1700036753 - Pharmacy - 3336C0003X

NPI Details
NPI 1700036753
Enumeration Date 09/26/2008
Last Updated 06/05/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DAN DAN
Position OWNER
Phone (832) 284-4043
Fax (832) 284-4048
Practice Location
1110 NASA PKWY
SUITE 108I
HOUSTON TX, 77058-3310, US
Phone (832) 284-4043
Fax (832) 284-4048
Business Location
1110 NASA PKWY
SUITE 108I
HOUSTON TX, 77058-3310, US
Phone (832) 284-4043
Fax (832) 284-4048
Toxanomy
Taxonomy Code 3336C0003X
License State Texas
License Number 26135
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According to our database, Faust Ltc Pharmacy Inc NPI is 1700036753, taxonomy code is 3336C0003X and license number is 26135, license state is located at Texas. Faust Ltc Pharmacy Inc physically located at 1110 Nasa Pkwy, Houston TX, 77058-3310. NPI Number 1033115704 has the healthcare provider type.

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1700036753 NPI number is provided on an as is basis without warranty of any kind. 1700036753 is maintained by the National Plan & Provider Enumeration System. The contents of Faust Ltc Pharmacy Inc are for informational purposes only.