Organization
LIGHTCARE RX LLC
Active
Other names
LIGHTCARE RX
Organization subpart
No
Provider details
NPI number
Authorized official
NIZAR DEWOOD (OWNER)
(713) 502-8009
Entity
Organization
Contact information
Practice address
8313 SOUTHWEST FWY STE 107, HOUSTON, TX 77074-1612
(832) 987-1795
(832) 599-7850
Mailing address
8313 SOUTHWEST FWY STE 107, HOUSTON, TX 77074-1612
(832) 987-1795
(832) 599-7850
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150113
—
TX
Enumeration date
06/01/2019
Last updated
05/26/2021
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