Organization
PARAMOUNT COMPOUNDING PHARMACY LLC
Active
Other names
Paramount Compounding Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AUNDRELL HAYES (PHARMACIST IN CHARGE)
(281) 975-7364
Entity
Organization
Contact information
Practice address
5517 BROADWAY ST STE H, PEARLAND, TX 77581-3737
(281) 412-4370
(281) 412-2127
Mailing address
5517 BROADWAY ST, SUITE H, PEARLAND, TX 77581-3746
(281) 412-4370
(281) 412-2127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5903807
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/01/2011
Last updated
03/05/2012
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