Organization
HAECKERVILLE PHARMACY LLC
Active
Other names
Haeckerville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WAYLON HAECKER RPH (OWNER/PIC/AO)
(281) 915-0793
Entity
Organization
Contact information
Practice address
16800 GREENSPOINT PARK DR STE 160S, HOUSTON, TX 77060-2311
(281) 915-0793
(281) 915-0793
Mailing address
16800 GREENSPOINT PARK DR STE 160S, HOUSTON, TX 77060-2311
(317) 650-6768
(281) 915-0793
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31288
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149605
—
TX
01
—
2168580
PK
—
Enumeration date
02/22/2017
Last updated
09/19/2025
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