Organization
NCC PLLC
Active
Other names
maxcare family pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAJU ASTHAPPAN (OWNER)
(281) 501-2228
Entity
Organization
Contact information
Practice address
2620 E CROSSTIMBERS ST STE 145, HOUSTON, TX 77093-8629
(281) 501-2228
(281) 605-5657
Mailing address
2620 E CROSSTIMBERS ST STE 145, HOUSTON, TX 77093-8629
(281) 501-2228
(281) 605-5657
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150030
—
TX
Enumeration date
02/01/2018
Last updated
02/03/2020
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