MEDICARE: BALANDRAN MANAGEMENT & CONSULTING 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	3336C0003X	Community/Retail Pharmacy	27934	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2135906	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871894220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANDRAN MANAGEMENT & CONSULTING INC

Provider Business Mailing Address
First Line	:	4014 WOODLAWN AVE STE B
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1921
Country	:	US
Telephone Number	:	346-692-5893
Fax Number	:	346-692-5756

Provider Business Practice Location Address
First Line	:	4014 WOODLAWN AVE STE B
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1921
Country	:	US
Telephone Number	:	346-692-5893
Fax Number	:	346-692-5756

Authorized Official
Title or Position	:	OWNER/PHARMACIST IN CHARGE
Name	:	MR. GEORGE ABRAM BALANDRAN JR.
Credential	:	RPH
Telephone Number	:	346-692-5893

Provider Enumeration Date	:	11/16/2010
Last Update Date	:	10/23/2025

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