Organization
BLUE COUGAR INVESTMENT L.L.C.
Active
Organization
BLUE COUGAR INVESTMENT L.L.C.
Active
Other names
Mitchell Rx Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
ARTIE MITCHELL (MANAGING MEMBER)
(713) 741-5104
Entity
Organization
Contact information
Practice address
4614 NASA PKWY, SEABROOK, TX 77586-5414
(713) 741-5104
(713) 741-5108
Mailing address
5910 SCOTT ST, HOUSTON, TX 77021-1457
(713) 741-5104
(713) 741-5108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28369
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5907754
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/05/2012
Last updated
11/06/2017
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