MEDICARE: APOTEK 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	26030	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2101348	OTHER		PK

General Provider Information

NPI Number	:	1851559322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOTEK LLC

Provider Business Mailing Address
First Line	:	5201 HARRISBURG BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4229
Country	:	US
Telephone Number	:	713-928-3210
Fax Number	:	713-928-3424

Provider Business Practice Location Address
First Line	:	5201 HARRISBURG BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4229
Country	:	US
Telephone Number	:	713-928-3210
Fax Number	:	713-928-3424

Authorized Official
Title or Position	:	MEMBER/MANAGER
Name	:	GEORGE LARACH
Credential	:	PHARM.D.
Telephone Number	:	281-460-6442

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	04/19/2016

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Directions to “APOTEK LLC ” Practice Location

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