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Organization

TOTAL CARE CAC PHARMACY LLC

Active
Other names
Total Care Cac Pharmacy LLC
Organization subpart
No

Provider details

NPI number
Authorized official
AUGUSTINE NJOKU (MANAGER)
(281) 872-4177
Entity
Organization

Contact information

Practice address
14755 NORTH FWY STE 200, HOUSTON, TX 77090-6503
(281) 377-8137
(281) 875-9619
Mailing address
14755 NORTH FREEWAY, SUITE 200, HOUSTON, TX 77090
(281) 377-8137
(281) 875-9619

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
28236
TX
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5907867
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/14/2013
Last updated
01/14/2013
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