Organization
PH SQUARED LLC
Active
Other names
PHARMHOUSE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LONGHURST (PRESIDENT)
(281) 998-9400
Entity
Organization
Contact information
Practice address
4500 E SAM HOUSTON PKWY S STE 100, PASADENA, TX 77505-3956
(281) 998-9400
(281) 998-9401
Mailing address
4500 E SAM HOUSTON PKWY S, STE 100, PASADENA, TX 77505-3959
(281) 998-9400
(281) 998-9401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
23122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145395
—
TX
01
—
2097752
PK
—
Enumeration date
09/12/2006
Last updated
02/20/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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