Organization
PRIMERA COMPOUNDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL RAAD R.PH. (PRESIDENT)
(281) 202-6136
Entity
Organization
Contact information
Practice address
30444 SOUTHWEST FWY, ROSENBERG, TX 77471-4871
(281) 202-6136
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
07/28/2021
Last updated
03/10/2022
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