| NPI Details | |
|---|---|
| NPI | 1073858288 |
| Enumeration Date | 11/29/2012 |
| Last Updated | 12/04/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | TRACEY TRACEY |
| Position | MANAGING OFFICER |
| Phone | (713) 340-0202 |
| Fax | (713) 340-0203 |
| Practice Location | |
|---|---|
| 1801 COUNTRY PLACE PKWY PEARLAND TX, 77584-5120, US |
|
| Phone | (713) 340-0202 |
| Fax | (713) 340-0203 |
| Business Location | |
|---|---|
| 1801 COUNTRY PLACE PKWY PEARLAND TX, 77584-5120, US |
|
| Phone | (713) 340-0202 |
| Fax | (713) 340-0203 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 3336C0003X |
| License State | Texas |
| License Number | 28357 |
| Remove 1073858288 NPI Number | |
According to our database, Hazel's Compunding Rx Pharmacy NPI is 1073858288, taxonomy code is 3336C0003X and license number is 28357, license state is located at Texas. Hazel's Compunding Rx Pharmacy physically located at 1801 Country Place Pkwy, Pearland TX, 77584-5120. NPI Number 1033115704 has the healthcare provider type.
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1073858288 NPI number is provided on an as is basis without warranty of any kind. 1073858288 is maintained by the National Plan & Provider Enumeration System. The contents of Hazel's Compunding Rx Pharmacy are for informational purposes only.
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