Organization
HAZEL'S COMPUNDING RX PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY BENSON PHARM.D. (MANAGING OFFICER)
(832) 264-7632
Entity
Organization
Contact information
Practice address
2404 SMITH RANCH RD, SUITE 100, PEARLAND, TX 77584
(713) 340-0202
(713) 340-0203
Mailing address
2404 SMITH RANCH RD, SUITE #100, PEARLAND, TX 77584
(713) 340-0202
(713) 340-0203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
28357
TX
3336C0004X
Compounding Pharmacy
Primary
28357
TX
Other
Enumeration date
11/29/2012
Last updated
09/30/2022
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