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NPI Code Detail

MEDICARE: PLAINVIEW PHARMACY

MEDICARE: PLAINVIEW PHARMACY
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
13336L0003XLong Term Care Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1235412081
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLAINVIEW PHARMACY
Provider Business Mailing Address
First Line : 6618 RAY DR
Second Line :
City : PASADENA
State : TX
Zip : 77505-4197
Country : US
Telephone Number : 832-483-8914
Fax Number :
Provider Business Practice Location Address
First Line : 6618 RAY DR
Second Line :
City : PASADENA
State : TX
Zip : 77505-4197
Country : US
Telephone Number : 832-483-8914
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : JOSEPH C KALATHOOR
Credential : CPHT
Telephone Number : 832-483-8914
Provider Enumeration Date : 09/27/2011
Last Update Date : 09/27/2011

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Directions to “PLAINVIEW PHARMACY ” Practice Location

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