MEDICARE: E-MED 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1790254357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E-MED PHARMACY LLC

Provider Business Mailing Address
First Line	:	15107 FM 2100 RD
Second Line	:	STE. D
City	:	CROSBY
State	:	TX
Zip	:	77532-1655
Country	:	US
Telephone Number	:	281-741-5289
Fax Number	:	832-230-0081

Provider Business Practice Location Address
First Line	:	15107 FM 2100 RD.
Second Line	:	STE. D
City	:	CROSBY
State	:	TX
Zip	:	77532-1655
Country	:	US
Telephone Number	:	281-741-5289
Fax Number	:	832-230-0081

Authorized Official
Title or Position	:	MANAGING OFFICER
Name	:	RACQUEL SHANTA HALL
Credential	:
Telephone Number	:	281-741-5289

Provider Enumeration Date	:	11/13/2018
Last Update Date	:	03/30/2026

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Directions to “E-MED PHARMACY LLC ” Practice Location

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