# OBEN PHARMACY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GoldStar Long Term Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952849309
- **Authorized official:** BESSEM OBEN (PHARMACY MANAGER)
- **Authorized official phone:** (832) 235-0807

## Contact information

- **Practice address:** 4500 CARTER CREEK PKWY STE 202, BRYAN, TX 77802-4494
- **Practice address phone:** (844) 465-3582
- **Practice address fax:** (855) 201-8501
- **Mailing address:** 4500 CARTER CREEK PKWY, SUITE 203, BRYAN, TX 77802-4494
- **Mailing address phone:** (844) 465-3582
- **Mailing address fax:** (855) 201-8501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 31590 | TX | Yes |

## Other

- **Enumeration date:** 02/06/2017
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2172246 | PK | — |