MEDICARE: FAUST LTC 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
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy	26135	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2117388	OTHER		PK

General Provider Information

NPI Number	:	1700036753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAUST LTC PHARMACY INC

Provider Business Mailing Address
First Line	:	1110 NASA PKWY
Second Line	:	SUITE 108I
City	:	HOUSTON
State	:	TX
Zip	:	77058-3310
Country	:	US
Telephone Number	:	832-284-4043
Fax Number	:	832-284-4048

Provider Business Practice Location Address
First Line	:	1110 NASA PKWY
Second Line	:	SUITE 108I
City	:	HOUSTON
State	:	TX
Zip	:	77058-3310
Country	:	US
Telephone Number	:	832-284-4043
Fax Number	:	832-284-4048

Authorized Official
Title or Position	:	OWNER
Name	:	DAN FAUST
Credential	:	RPH
Telephone Number	:	832-284-4043

Provider Enumeration Date	:	09/26/2008
Last Update Date	:	09/19/2025

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Directions to “FAUST LTC PHARMACY INC ” Practice Location

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