Healthcare Provider Details

I. General information

NPI: 1902667579
Provider Name (Legal Business Name): PATIENT FIRST PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2024
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21703 KINGSLAND BLVD STE 103
KATY TX
77450-2521
US

IV. Provider business mailing address

21703 KINGSLAND BLVD STE 103
KATY TX
77450-2521
US

V. Phone/Fax

Practice location:
  • Phone: 832-391-6133
  • Fax: 832-391-6137
Mailing address:
  • Phone: 832-391-6133
  • Fax: 832-391-6137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. PRINCE ANDREWS
Title or Position: MANEGER
Credential:
Phone: 832-391-6133