MEDICARE: EPICARE 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	3336C0003X	Community/Retail Pharmacy	24156	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2097606	OTHER		PK

General Provider Information

NPI Number	:	1255465779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPICARE PHARMACY LLC

Provider Business Mailing Address
First Line	:	4703 TELEPHONE RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-2315
Country	:	US
Telephone Number	:	713-695-5000
Fax Number	:	713-697-8044

Provider Business Practice Location Address
First Line	:	4703 TELEPHONE RD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-2315
Country	:	US
Telephone Number	:	713-695-5000
Fax Number	:	713-697-8044

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	JULIE TRAN
Credential	:
Telephone Number	:	713-695-5000

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	04/09/2025

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Directions to “EPICARE PHARMACY LLC ” Practice Location

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