Organization
TB CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAI PHAM (OWNER)
(281) 257-8809
Entity
Organization
Contact information
Practice address
11734 GRANT RD, CYPRESS, TX 77429-2982
(281) 257-8809
(281) 257-8901
Mailing address
11734 GRANT RD, CYPRESS, TX 77429-2982
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25060
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145674
—
TX
01
—
4541199
OTHER ID NUMBER
—
Enumeration date
08/18/2006
Last updated
07/10/2008
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