MEDICARE: LIVING WORD PHARMACY TECHNICIAN SCHOOL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1396562328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING WORD PHARMACY TECHNICIAN SCHOOL

Provider Business Mailing Address
First Line	:	2601 CARTWRIGHT RD STE D
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-2613
Country	:	US
Telephone Number	:	346-421-8599
Fax Number	:	346-816-4177

Provider Business Practice Location Address
First Line	:	3302 CARMEL VALLEY DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3067
Country	:	US
Telephone Number	:	832-594-0799
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KAREN MOORE
Credential	:
Telephone Number	:	832-594-0799

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	09/23/2024

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