MEDICARE: CHALLENGE CARE 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
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	251F00000X	Home Infusion Agency
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	3336H0001X	Home Infusion Therapy Pharmacy
6	3336C0003X	Community/Retail Pharmacy	26914	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	146166	OTHER	TX	MCAID PHARMACY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518285212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHALLENGE CARE PHARMACY

Provider Business Mailing Address
First Line	:	6105 BEVERLYHILL ST STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-6716
Country	:	US
Telephone Number	:	832-487-9746
Fax Number	:	832-487-9753

Provider Business Practice Location Address
First Line	:	6105 BEVERLYHILL ST STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-6716
Country	:	US
Telephone Number	:	832-487-9746
Fax Number	:	832-487-9753

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MRS. AROOJ SALAM
Credential	:
Telephone Number	:	832-487-9746

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	12/04/2023

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Directions to “CHALLENGE CARE PHARMACY ” Practice Location

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