MEDICARE: CITIZENS PHARMACY 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	06757	TX
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2101877	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659382141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITIZENS PHARMACY LLC

Provider Business Mailing Address
First Line	:	17070 RED OAK DR STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2615
Country	:	US
Telephone Number	:	713-695-7316
Fax Number	:	713-691-4133

Provider Business Practice Location Address
First Line	:	17070 RED OAK DR STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2615
Country	:	US
Telephone Number	:	713-695-7316
Fax Number	:	713-691-4133

Authorized Official
Title or Position	:	AUTHORISED OFFICIAL/MANAGER
Name	:	YAMINI N PATEL
Credential	:
Telephone Number	:	713-695-7316

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/13/2025

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Directions to “CITIZENS PHARMACY LLC ” Practice Location

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