MEDICARE: AABET INC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336C0003X	Community/Retail Pharmacy	28863	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2141242	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386084317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AABET INC

Provider Business Mailing Address
First Line	:	8604 MARTIN LUTHER KING BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-2308
Country	:	US
Telephone Number	:	713-640-5575
Fax Number	:	713-640-5654

Provider Business Practice Location Address
First Line	:	8604 MARTIN LUTHER KING BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-2308
Country	:	US
Telephone Number	:	713-640-5575
Fax Number	:	713-640-5654

Authorized Official
Title or Position	:	PHARMACY OWNER
Name	:	BRENDA RICHARDSON
Credential	:	RPH
Telephone Number	:	713-218-6337

Provider Enumeration Date	:	07/05/2013
Last Update Date	:	11/16/2018

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Directions to “AABET INC ” Practice Location

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