MEDICARE: HCP PHARMACY LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1083983290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HCP PHARMACY LLC

Provider Business Mailing Address
First Line	:	2905 MANGUM RD
Second Line	:	STE E
City	:	HOUSTON
State	:	TX
Zip	:	77092-7543
Country	:	US
Telephone Number	:	713-680-1600
Fax Number	:	713-680-1601

Provider Business Practice Location Address
First Line	:	2905 MANGUM RD
Second Line	:	STE E
City	:	HOUSTON
State	:	TX
Zip	:	77092-7543
Country	:	US
Telephone Number	:	713-680-1600
Fax Number	:	713-680-1601

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	FRANCISCA GUITY
Credential	:
Telephone Number	:	404-455-6823

Provider Enumeration Date	:	12/16/2011
Last Update Date	:	12/16/2011

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Directions to “HCP PHARMACY LLC ” Practice Location

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