Healthcare Provider Details
I. General information
NPI: 1760621486
Provider Name (Legal Business Name): PHARMACY COURIER SERVICE,L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2009
Last Update Date: 11/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 SUGAR CREEK CENTER BLVD ONE HUNDRED
SUGAR LAND TX
77478-3541
US
IV. Provider business mailing address
3 SUGAR CREEK CENTER BLVD ONE HUNDRED
SUGAR LAND TX
77478-3541
US
V. Phone/Fax
- Phone: 800-256-6378
- Fax: 832-321-5292
- Phone: 800-256-6378
- Fax: 832-321-5292
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 146D00000X |
| Taxonomy | Personal Emergency Response Attendant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 183700000X |
| Taxonomy | Pharmacy Technician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336M0003X |
| Taxonomy | Managed Care Organization Pharmacy |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335G00000X |
| Taxonomy | Medical Foods Supplier |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344800000X |
| Taxonomy | Air Carrier |
| License Number | |
| License Number State | |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347D00000X |
| Taxonomy | Train |
| License Number | |
| License Number State | |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELLAINE
COOK
Title or Position: MANAGER
Credential:
Phone: 800-256-6378