# PH SQUARED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHARMHOUSE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003910076
- **Authorized official:** CRAIG LONGHURST (PRESIDENT)
- **Authorized official phone:** (281) 998-9400

## Contact information

- **Practice address:** 4500 E SAM HOUSTON PKWY S STE 100, PASADENA, TX 77505-3956
- **Practice address phone:** (281) 998-9400
- **Practice address fax:** (281) 998-9401
- **Mailing address:** 4500 E SAM HOUSTON PKWY S, STE 100, PASADENA, TX 77505-3959
- **Mailing address phone:** (281) 998-9400
- **Mailing address fax:** (281) 998-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 23122 | TX | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 145395 | — | TX |
| 01 | — | 2097752 | PK | — |