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Organization
PHARMEDIUM SERVICES LLC
Active
Organization
PHARMEDIUM SERVICES LLC
Active
Other names
PHARMEDIUM SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DILLOW RPH (PHCY MANG)
(281) 491-1900
Entity
Organization
Contact information
Practice address
12620 W AIRPORT BLVD, STE 130, SUGAR LAND, TX 77478-6199
(281) 491-1900
(866) 380-6918
Mailing address
12620 W AIRPORT BLVD, STE 130, SUGAR LAND, TX 77478-6199
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
22931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4548484
OTHER ID NUMBER
—
Enumeration date
06/17/2008
Last updated
06/17/2008
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