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NPI Code Detail

MEDICARE: CULLEN PHARMACY INC

MEDICARE: CULLEN PHARMACY 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
13336C0003XCommunity/Retail Pharmacy23736TX
2333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34505371OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1548283419
Entity Type Code : Organization
Provider Name (Legal Business Name) : CULLEN PHARMACY INC
Provider Business Mailing Address
First Line : 9406 CULLEN BLVD
Second Line : STE C
City : HOUSTON
State : TX
Zip : 77051-3321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9406 CULLEN BLVD
Second Line : STE C
City : HOUSTON
State : TX
Zip : 77051-3321
Country : US
Telephone Number : 713-264-0699
Fax Number : 713-264-7999
Authorized Official
Title or Position : OWNER PHARMACIST
Name : JAMES DYKES
Credential :
Telephone Number : 713-264-0699
Provider Enumeration Date : 07/25/2006
Last Update Date : 09/11/2025

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Directions to “CULLEN PHARMACY INC ” Practice Location

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