MEDICARE: AFA PHARMACY, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336C0003X	Community/Retail Pharmacy
2	3336M0002X	Mail Order Pharmacy
3	3336S0011X	Specialty Pharmacy
4	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5930412	OTHER		NCPDP
2	33089	OTHER	TX	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1033756093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFA PHARMACY, LLC

Provider Business Mailing Address
First Line	:	8821 S SAM HOUSTON PKWY W STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-1495
Country	:	US
Telephone Number	:	346-224-2125
Fax Number	:

Provider Business Practice Location Address
First Line	:	8821 S SAM HOUSTON PKWY W STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-1495
Country	:	US
Telephone Number	:	281-231-9171
Fax Number	:	281-305-0253

Authorized Official
Title or Position	:	SECRETARY
Name	:	JUSTIN STONE
Credential	:
Telephone Number	:	561-901-1741

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	03/07/2023

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Directions to “AFA PHARMACY, LLC ” Practice Location

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