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Organization
PARAMOUNT COMPOUNDING PHARMACY LLC
Active
Organization
PARAMOUNT COMPOUNDING PHARMACY LLC
Active
Other names
Paramount Compounding Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AUNDRELL HAYES (PHARMACIST IN CHARGE)
(281) 975-7364
Entity
Organization
Contact information
Practice address
5517 BROADWAY ST STE H, PEARLAND, TX 77581-3737
(281) 412-4370
(281) 412-2127
Mailing address
5517 BROADWAY ST, SUITE H, PEARLAND, TX 77581-3746
(281) 412-4370
(281) 412-2127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5903807
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/01/2011
Last updated
03/05/2012
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