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NPI Code Detail

MEDICARE: COMPOUNDING PHARMACY SOLUTIONS

MEDICARE: COMPOUNDING PHARMACY 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy
33336C0004XCompounding Pharmacy27496TX
43336H0001XHome Infusion Therapy Pharmacy27496TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15903249OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1043503915
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPOUNDING PHARMACY SOLUTIONS
Provider Business Mailing Address
First Line : 6105 BEVERLY HILL STREET
Second Line : SUITE 201
City : HOUSTON
State : TX
Zip : 77057-6716
Country : US
Telephone Number : 713-783-2836
Fax Number : 713-782-2644
Provider Business Practice Location Address
First Line : 6105 BEVERLY HILL STREET
Second Line : SUITE 201
City : HOUSTON
State : TX
Zip : 77057-6716
Country : US
Telephone Number : 713-783-2836
Fax Number : 713-782-2644
Authorized Official
Title or Position : PHARMACIST
Name : MR. ABDALLAH RASSY
Credential : R.PH.
Telephone Number : 713-783-2836
Provider Enumeration Date : 05/25/2011
Last Update Date : 03/18/2013

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Directions to “COMPOUNDING PHARMACY SOLUTIONS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.