Healthcare Provider Details

I. General information

NPI: 1033560735
Provider Name (Legal Business Name): USPS RETAIL PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22001 SOUTHWEST FWY STE 110
RICHMOND TX
77469-7002
US

IV. Provider business mailing address

22001 SOUTHWEST FREEWAY SUITE 110
RICHMOND TX
77469
US

V. Phone/Fax

Practice location:
  • Phone: 713-325-2700
  • Fax: 281-605-6644
Mailing address:
  • Phone: 713-325-2700
  • Fax: 281-605-6644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number30906
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER VARD TYRONE
Title or Position: CHIEF PHARMACY OFFICER
Credential: PHARMD
Phone: 469-977-1607