MEDICARE: HEALTH CARE BUSINESS SOLUTIONS LLC

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	30255	TX

General Provider Information

NPI Number	:	1629154513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CARE BUSINESS SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1134 FOREST PARK DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76087-2802
Country	:	US
Telephone Number	:	817-613-9079
Fax Number	:

Provider Business Practice Location Address
First Line	:	1134 FOREST PARK DR
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76087-2802
Country	:	US
Telephone Number	:	817-613-9079
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CREIGHTON C. MAYNARD III
Credential	:	RPH,MBA
Telephone Number	:	817-613-9079

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	08/22/2020

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