Organization
PRUCARE PHARMACY INC
Active
Other names
PRUCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA SHARP (OWNER)
(713) 661-7300
Entity
Organization
Contact information
Practice address
9219 MAIN ST, HOUSTON, TX 77025-4419
(713) 661-7300
(713) 661-7301
Mailing address
9219 MAIN ST, HOUSTON, TX 77025-4419
(713) 661-7300
(713) 661-7301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5906839
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/10/2012
Last updated
12/03/2019
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