Organization
TOTAL CARE CAC PHARMACY LLC
Active
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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