MEDICARE: VENATANA 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	3336C0004X	Compounding Pharmacy
2	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1679047948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VENATANA SERVICES LLC

Provider Business Mailing Address
First Line	:	8500 CYPRESSWOOD DR STE 203
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7109
Country	:	US
Telephone Number	:	603-714-0557
Fax Number	:

Provider Business Practice Location Address
First Line	:	8500 CYPRESSWOOD DR STE 203
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7109
Country	:	US
Telephone Number	:	603-714-0557
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	GURBHEJ CHEEMA
Credential	:
Telephone Number	:	832-461-1767

Provider Enumeration Date	:	01/18/2019
Last Update Date	:	08/11/2023

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Directions to “VENATANA SERVICES LLC ” Practice Location

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