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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