# PHARMCARE USA OF HOUSTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharmcare USA of Houston, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306398029
- **Authorized official:** DORIS PETEK (VP OF COMPLIANCE)
- **Authorized official phone:** (405) 204-9783

## Contact information

- **Practice address:** 420 CHESTNUT BUSINESS PARK DR., SUITE C, TOMBALL, TX 77375
- **Practice address phone:** (888) 738-5283
- **Practice address fax:** (877) 505-7999
- **Mailing address:** PO BOX 365, HYDRO, OK 73048-0365
- **Mailing address phone:** (405) 663-4111
- **Mailing address fax:** (405) 663-4114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 31062 | TX | Yes |

## Other

- **Enumeration date:** 10/28/2016
- **Last updated:** 01/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 149543 | — | TX |
| 01 | — | 2165875 | PK | — |