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NPI Code Detail

MEDICARE: BAYBROOK CARE PHARMACY LLC

MEDICARE: BAYBROOK CARE 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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1194293373
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYBROOK CARE PHARMACY LLC
Provider Business Mailing Address
First Line : 13630 BEAMER RD STE 103
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6038
Country : US
Telephone Number : 346-774-2697
Fax Number : 346-774-2697
Provider Business Practice Location Address
First Line : 13630 BEAMER RD STE 103
Second Line :
City : HOUSTON
State : TX
Zip : 77089-6038
Country : US
Telephone Number : 346-774-2697
Fax Number : 346-774-2697
Authorized Official
Title or Position : OWNER
Name : GENEVIEVE ECHETA
Credential :
Telephone Number : 346-774-2697
Provider Enumeration Date : 11/06/2018
Last Update Date : 07/29/2019

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Directions to “BAYBROOK CARE PHARMACY LLC ” Practice Location

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