Organization
LX HOMECARE, LLC
Active
Parent organization
ASSURANCE CONSOLIDATED PHARMACY
Other names
NW-ACP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSURANCE CONSOLIDATED PHARMACY
Authorized official
ISSAM KHEIRBECK (MANAGING OFFICER, AO)
(281) 602-3787
Entity
Organization
Contact information
Practice address
800 PEAKWOOD DR, STE 4-A, HOUSTON, TX 77090
(281) 602-3487
(281) 781-8442
Mailing address
800 PEAKWOOD DR STE 4A, HOUSTON, TX 77090-2914
(281) 602-3487
(281) 781-8442
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146598
—
TX
01
—
2136189
PK
—
Enumeration date
08/07/2012
Last updated
12/03/2018
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