Organization
SPLENDORA HEALTHCARE LLC
Active
Other names
Assurance Consolidated Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRONOWN THOMAS (MANAGING OFFICER)
(832) 813-8199
Entity
Organization
Contact information
Practice address
13841 HIGHWAY 59 STE C, SPLENDORA, TX 77372-4697
(281) 689-7700
(281) 689-7701
Mailing address
1006 THOMPSON RD, RICHMOND, TX 77469-4241
(281) 762-2074
(281) 239-8515
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29076
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144889
PK
—
Enumeration date
05/05/2014
Last updated
06/10/2014
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