Organization
CC PHARMACY LLC
Active
Other names
CC Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN CURRY (MANAGING PARTNER)
(832) 775-6798
Entity
Organization
Contact information
Practice address
2656 S LOOP W STE 395, HOUSTON, TX 77054-5603
(832) 775-6978
(832) 940-2676
Mailing address
2656 S LOOP W STE 395, HOUSTON, TX 77054-5603
(832) 775-6978
(832) 940-2676
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30743
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168647
PK
—
Enumeration date
04/12/2017
Last updated
04/12/2017
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