Organization
PHARMEDIUM SERVICES LLC
Active
Other names
PHARMEDIUM SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DILLOW RPH (PHCY MANG)
(281) 491-1900
Entity
Organization
Contact information
Practice address
12620 W AIRPORT BLVD, STE 130, SUGAR LAND, TX 77478-6199
(281) 491-1900
(866) 380-6918
Mailing address
12620 W AIRPORT BLVD, STE 130, SUGAR LAND, TX 77478-6199
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
22931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4548484
OTHER ID NUMBER
—
Enumeration date
06/17/2008
Last updated
06/17/2008
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