MEDICARE: DR. CASANDRA NICOLE ROETZER PHARMD

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	183500000X	Pharmacist	76399	TX

General Provider Information

NPI Number	:	1548199805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASANDRA NICOLE ROETZER PHARMD

Provider Business Mailing Address
First Line	:	15962 S ALLEY CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15962 S ALLEY CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2969
Country	:	US
Telephone Number	:	713-725-4507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ DR. CASANDRA NICOLE ROETZER PHARMD” Practice Location

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