MEDICARE: PHARM D SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy	29795	TX

General Provider Information

NPI Number	:	1033501663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARM D SOLUTIONS

Provider Business Mailing Address
First Line	:	1304 S LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4010
Country	:	US
Telephone Number	:	713-790-1693
Fax Number	:	713-583-6207

Provider Business Practice Location Address
First Line	:	1304 S LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4010
Country	:	US
Telephone Number	:	713-790-1693
Fax Number	:	713-583-6207

Authorized Official
Title or Position	:	PHARMACIST/OFFICER
Name	:	MR. JUAN CARLOS DE LEON
Credential	:	PHARM D.
Telephone Number	:	713-790-1693

Provider Enumeration Date	:	02/18/2015
Last Update Date	:	02/18/2015

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Directions to “PHARM D SOLUTIONS ” Practice Location

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