MEDICARE: SPF 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	3336C0003X	Community/Retail Pharmacy	14431	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2099505	OTHER		PK

General Provider Information

NPI Number	:	1811091887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPF INC

Provider Business Mailing Address
First Line	:	3303 N MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-5661
Country	:	US
Telephone Number	:	713-222-6650
Fax Number	:	713-225-6026

Provider Business Practice Location Address
First Line	:	3303 N MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-5661
Country	:	US
Telephone Number	:	713-222-6650
Fax Number	:	713-225-6026

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	SIMON PEDROZA
Credential	:
Telephone Number	:	713-861-3196

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	11/23/2015

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Directions to “SPF INC ” Practice Location

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