Organization
TEXAS SPECIALTY GROUP LLC
Active
Other names
SOUTHSIDE PHARMACY 12
Organization subpart
No
Provider details
NPI number
Authorized official
HARISH KATHARANI (CEO, PRESIDENT)
(713) 660-8888
Entity
Organization
Contact information
Practice address
18648 MCKAY DR STE 110, HUMBLE, TX 77338-5724
(832) 831-7707
(832) 831-7708
Mailing address
18648 MCKAY DR STE 110, HUMBLE, TX 77338-5724
(832) 831-7707
(832) 831-7708
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166204
PK
—
Enumeration date
11/01/2016
Last updated
03/14/2017
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