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NPI Code Detail

MEDICARE: TX PERFORMANCE MEDS PHARMACY & WELLNESS

MEDICARE: TX PERFORMANCE MEDS PHARMACY & WELLNESS
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
13336C0004XCompounding Pharmacy

General Provider Information

NPI Number : 1134962087
Entity Type Code : Organization
Provider Name (Legal Business Name) : TX PERFORMANCE MEDS PHARMACY & WELLNESS
Provider Business Mailing Address
First Line : 1646 BLAISDALE RD STE 2200
Second Line :
City : RICHMOND
State : TX
Zip : 77406-2773
Country : US
Telephone Number : 346-899-8976
Fax Number : 832-327-8774
Provider Business Practice Location Address
First Line : 1646 BLAISDALE RD STE 2200
Second Line :
City : RICHMOND
State : TX
Zip : 77406-2773
Country : US
Telephone Number : 346-899-8976
Fax Number : 832-327-8774
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : EUGENIA SHEPHERD
Credential :
Telephone Number : 346-899-8976
Provider Enumeration Date : 06/18/2024
Last Update Date : 06/18/2024

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Directions to “TX PERFORMANCE MEDS PHARMACY & WELLNESS ” 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.