MEDICARE: COURTNEY TRUSCOTT

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	183500000X	Pharmacist	49179	TX

General Provider Information

NPI Number	:	1396468906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY TRUSCOTT

Provider Business Mailing Address
First Line	:	5401 WASHINGTON AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5131
Country	:	US
Telephone Number	:	832-671-7867
Fax Number	:

Provider Business Practice Location Address
First Line	:	5401 WASHINGTON AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5131
Country	:	US
Telephone Number	:	713-884-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	09/20/2022

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Directions to “ COURTNEY TRUSCOTT ” Practice Location

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