Organization
ALLSTAR PHARMACY LLC
Active
Other names
Allstar Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN VINSON (OWNER)
(713) 590-0448
Entity
Organization
Contact information
Practice address
11410 E. I-10 FREEWAY SUITE 164, HOUSTON, TX 77029
(713) 590-0448
(713) 590-0447
Mailing address
11410 E. I-10 FREEWAY SUITE 164, HOUSTON, TX 77029
(713) 590-0448
(713) 590-0447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
27115
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5902033
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/15/2010
Last updated
12/21/2010
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