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Organization

OBEN PHARMACY GROUP LLC

Active
Other names
GoldStar Long Term Care
Organization subpart
No

Provider details

NPI number
Authorized official
BESSEM OBEN (PHARMACY MANAGER)
(832) 235-0807
Entity
Organization

Contact information

Practice address
4500 CARTER CREEK PKWY STE 202, BRYAN, TX 77802-4494
(844) 465-3582
(855) 201-8501
Mailing address
4500 CARTER CREEK PKWY, SUITE 203, BRYAN, TX 77802-4494
(844) 465-3582
(855) 201-8501

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
31590
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2172246
PK
Enumeration date
02/06/2017
Last updated
09/19/2025
About Stedi
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Product
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  • Eligibility checks
  • EDI platform