Organization
LIFECHEK CARRIZO LLC
Active
Other names
Town Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAILENDRA GUPTA (MANAGING OFFICER)
(832) 290-8997
Entity
Organization
Contact information
Practice address
3531 TOWN CENTER BLVD S STE 103, SUGAR LAND, TX 77479-2591
(844) 843-0101
(844) 843-0101
Mailing address
314 N 5TH ST, SUITE B, CARRIZO SPRINGS, TX 78834-3106
(830) 876-2516
(830) 876-5450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28438
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138500
PK
—
05
—
466906
—
TX
Enumeration date
06/10/2006
Last updated
10/20/2022
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