# BLUE CITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EZ Pack Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245857960
- **Authorized official:** RACHAEL ALLES (OWNER)
- **Authorized official phone:** (682) 262-1120

## Contact information

- **Practice address:** 2646 S LOOP W STE 180A, HOUSTON, TX 77054-5616
- **Practice address phone:** (832) 582-5290
- **Mailing address:** 2646 S LOOP W STE 180A, HOUSTON, TX 77054-5616
- **Mailing address phone:** (832) 582-5290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2020
- **Last updated:** 09/06/2023
