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Organization

TRUCARE PHARMACY

Active
Other names
TRUCARE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
KHADY KEITA (PHCY MANG)
(713) 781-1717
Entity
Organization

Contact information

Practice address
3330 HILLCROFT ST, SUIT V, HOUSTON, TX 77057-5800
(713) 781-1717
(713) 781-8282
Mailing address
PO BOX 631894, HOUSTON, TX 77263-1894

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
Primary
25325
TX
3336M0002X
Mail Order Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4545440
OTHER ID NUMBER
Enumeration date
08/05/2007
Last updated
12/05/2007
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