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Organization
OBEN PHARMACY GROUP LLC
Active
Organization
OBEN PHARMACY GROUP LLC
Active
Other names
GoldStar Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
BESSEM OBEN (PHARMACY MANAGER)
(832) 235-0807
Entity
Organization
Contact information
Practice address
4500 CARTER CREEK PKWY STE 202, BRYAN, TX 77802-4494
(844) 465-3582
(855) 201-8501
Mailing address
4500 CARTER CREEK PKWY, SUITE 203, BRYAN, TX 77802-4494
(844) 465-3582
(855) 201-8501
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
31590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172246
PK
—
Enumeration date
02/06/2017
Last updated
09/19/2025
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