MEDICARE: IPHARMA 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1740927961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IPHARMA LLC.

Provider Business Mailing Address
First Line	:	5400 KATY FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4343
Country	:	US
Telephone Number	:	713-869-1977
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 KATY FWY STE 100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-4343
Country	:	US
Telephone Number	:	713-869-1977
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	MARYAM EMADI
Credential	:	PHARMD
Telephone Number	:	713-869-1977

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	05/18/2022

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