Organization
BASILEIA GROUP INC
Active
Other names
The Pharmacy Experience Network
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS HEATH PHARM.D, MBA (FOUNDER & CEO)
(713) 263-7680
Entity
Organization
Contact information
Practice address
8118 FRY RD STE 1302, CYPRESS, TX 77433-7852
(713) 263-7680
(713) 263-7685
Mailing address
8118 FRY RD STE 1302, CYPRESS, TX 77433-7852
(713) 263-7680
(713) 263-7685
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25684
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148375
—
TX
01
—
4545806
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2007
Last updated
03/28/2023
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