Organization
HANCOCK PHARMACIES INC
Active
Other names
MEDIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GURBHEJ CHEEMA PHARMD (PRESIDENT)
(713) 666-6353
Entity
Organization
Contact information
Practice address
4040 S BRAESWOOD BLVD, HOUSTON, TX 77025-3304
(713) 666-6353
(713) 666-2831
Mailing address
4040 S BRAESWOOD BLVD, HOUSTON, TX 77025-3304
(713) 666-6353
(713) 666-2831
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12563
TX
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144804
—
TX
01
—
2097174
PK
—
Enumeration date
06/21/2006
Last updated
12/20/2023
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