Organization
TD PHARMACY
Active
Other names
TD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SIMDON (DIR OF ADMIN & COMPLIANCE)
(214) 563-9799
Entity
Organization
Contact information
Practice address
12319 BELLAIRE BLVD STE 400, HOUSTON, TX 77072-2590
(281) 741-8472
(281) 741-8456
Mailing address
12319 BELLAIRE BLVD STE 400, HOUSTON, TX 77072-2590
(281) 741-8472
(281) 741-8456
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28045
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146579
—
TX
01
—
2135211
PK
—
Enumeration date
05/15/2012
Last updated
12/22/2016
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