Organization
CSP PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY SILES (OWNER)
(409) 838-5552
Entity
Organization
Contact information
Practice address
490 INTERSTATE 10 N STE 400, BEAUMONT, TX 77702-1822
(409) 838-5552
(409) 838-5597
Mailing address
490 IH 10 N STE 400, BEAUMONT, TX 77702-1822
(409) 838-5552
(409) 838-5597
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
28679
TX
3336C0003X
Community/Retail Pharmacy
Primary
31752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146801
—
TX
01
—
2141447
PK
—
Enumeration date
08/01/2013
Last updated
06/25/2019
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