Organization
TEXAS UNICARE PHARMACY LLC
Active
Organization
TEXAS UNICARE PHARMACY LLC
Active
Other names
Texas Unicare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED KASEB RPH (OWNER, PHCY MGR, PIC)
(832) 834-3218
Entity
Organization
Contact information
Practice address
2424 W HOLCOMBE BLVD STE 101, HOUSTON, TX 77030-1933
(832) 834-3222
(832) 834-4222
Mailing address
2424 W HOLCOMBE BLVD, SUITE 101, HOUSTON, TX 77030-1934
(832) 834-3222
(832) 834-4222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29287
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146160
PK
—
Enumeration date
06/04/2014
Last updated
08/21/2014
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