Organization
BPTN INVESTMENT SERIES LLC
Active
Other names
Premier Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN THANH PHAN RPH (MEMBER MANAGED)
(408) 661-3881
Entity
Organization
Contact information
Practice address
7025 FRY RD STE 400, CYPRESS, TX 77433-8152
(888) 300-8743
(888) 512-6266
Mailing address
17515 SPRING CYPRESS RD # 256, CYPRESS, TX 77429-2688
(888) 300-8743
(888) 512-6266
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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