Organization
INTRACARE COMMUNITY PHARMACY LLC
Active
Other names
INTRACARE COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SCOVILL PHARM D (CEO)
(713) 790-0949
Entity
Organization
Contact information
Practice address
1120 CYPRESS STATION DR, STE 110, HOUSTON, TX 77090-3002
(713) 790-7821
(713) 790-1620
Mailing address
1120 CYPRESS STATION DR, STE 110, HOUSTON, TX 77090-3002
(713) 790-7821
(713) 790-1620
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25424
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099954
PK
—
05
—
350203
—
TX
Enumeration date
02/12/2007
Last updated
02/02/2015
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