Organization
BAMBATA HOLDINGS LLC
Active
Other names
Aspire Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE GABRIEL (DIRECTOR)
(281) 594-6027
Entity
Organization
Contact information
Practice address
1730 WILLIAMS TRACE BLVD STE K, SUGAR LAND, TX 77478-4055
(281) 594-6027
Mailing address
1730 WILLIAMS TRACE BLVD STE K, SUGAR LAND, TX 77478-4055
(281) 594-6027
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
04/11/2023
Last updated
05/03/2023
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