Healthcare Provider Details

I. General information

NPI: 1689399362
Provider Name (Legal Business Name): A 1 PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 08/06/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10161 TX 242 SUITE 130
CONROE TX
77385
US

IV. Provider business mailing address

10161 STATE HWY 242 SUITE 130
CONROE TX
77385-4374
US

V. Phone/Fax

Practice location:
  • Phone: 936-224-5387
  • Fax:
Mailing address:
  • Phone: 936-209-3553
  • Fax: 936-242-1824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KARINA GUZMAN
Title or Position: MANAGING OFFICER
Credential:
Phone: 936-224-5387