Organization
PCP PHARMACY LLC
Active
Other names
PremierCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA DENISE NOWLIN (MANAGER)
(281) 991-1300
Entity
Organization
Contact information
Practice address
5108 FAIRMONT PKWY STE A, PASADENA, TX 77505-3756
(281) 991-1300
Mailing address
5108 FAIRMONT PKWY STE A, PASADENA, TX 77505-3756
(281) 991-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27443
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146450
—
TX
Enumeration date
04/22/2011
Last updated
02/06/2019
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