Healthcare Provider Details

I. General information

NPI: 1164290185
Provider Name (Legal Business Name): FLEXCARE SPECIALTY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6671 SOUTHWEST FWY STE 800
HOUSTON TX
77074-2214
US

IV. Provider business mailing address

1001 W MEMORIAL RD STE 112
OKLAHOMA CITY OK
73114-2000
US

V. Phone/Fax

Practice location:
  • Phone: 713-360-2100
  • Fax: 855-497-7957
Mailing address:
  • Phone: 405-509-6599
  • Fax: 888-219-8102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RICK YERONDOPOULOS
Title or Position: EVP PHARMACY
Credential: PHARMD
Phone: 480-927-3802