Organization
DEERBROOK PHARMACY, LLC
Active
Other names
Deerbrook Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS TRAYLOR BS (OWNER)
(281) 967-1255
Entity
Organization
Contact information
Practice address
9816 MEMORIAL BLVD STE 105, HUMBLE, TX 77338-4205
(281) 446-0061
(281) 446-1353
Mailing address
9816 MEMORIAL BLVD STE 105, HUMBLE, TX 77338-4205
(281) 446-0061
(281) 446-1353
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
26650
TX
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146076
—
TX
01
—
2122452
PK
—
Enumeration date
07/27/2009
Last updated
07/19/2018
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