Organization
PRIMERA COMPOUNDING, LLC
Active
Other names
Primera Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL RAAD RPH (PRESIDENT)
(281) 202-6129
Entity
Organization
Contact information
Practice address
3745 HIGHWAY 6, SUGAR LAND, TX 77478-5249
(346) 350-5194
(346) 321-4500
Mailing address
30444 SOUTHWEST FWY, ROSENBERG, TX 77471-4871
(281) 202-6136
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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