Organization
PHARM HOUSE SWEENY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LAMB (COMPLIANCE OFFICER)
(770) 474-7693
Entity
Organization
Contact information
Practice address
200 N MAIN ST, SWEENY, TX 77480
(979) 548-0212
(979) 548-0116
Mailing address
PO BOX 580, MCDONOUGH, GA 30253-0580
(770) 474-7693
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175852
PK
—
Enumeration date
01/31/2018
Last updated
04/18/2018
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