Organization
PINECROFT PHARMACY LLC
Active
Other names
Care Retail and Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH OKECHUKWU UKAUWA PHARMD (PHARMACIST IN CHARGE)
(281) 466-3650
Entity
Organization
Contact information
Practice address
150 PINE FOREST DR STE 203, SHENANDOAH, TX 77384-5303
(281) 466-3650
(281) 466-3657
Mailing address
150 PINE FOREST DR STE 203, SHENANDOAH, TX 77384-5303
(281) 466-3650
(281) 466-3657
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146211
—
TX
Enumeration date
07/13/2010
Last updated
12/18/2024
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