MEDICARE: PQ PHARMACY SERVICES 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

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

General Provider Information

NPI Number	:	1457620775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PQ PHARMACY SERVICES LLC

Provider Business Mailing Address
First Line	:	2430 FRY RD # 104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5831
Country	:	US
Telephone Number	:	281-579-1310
Fax Number	:	281-579-3385

Provider Business Practice Location Address
First Line	:	2430 FRY RD # 104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5831
Country	:	US
Telephone Number	:	281-579-1310
Fax Number	:	281-579-3385

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. QUYEN NGUYEN
Credential	:	PHARM D
Telephone Number	:	281-579-1310

Provider Enumeration Date	:	12/14/2011
Last Update Date	:	10/03/2025

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Directions to “PQ PHARMACY SERVICES LLC ” Practice Location

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