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NPI Code Detail

MEDICARE: AWESOME CARE PHARMACY INC

MEDICARE: AWESOME CARE PHARMACY 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
13336C0003XCommunity/Retail Pharmacy27245TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12127632OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922313303
Entity Type Code : Organization
Provider Name (Legal Business Name) : AWESOME CARE PHARMACY INC
Provider Business Mailing Address
First Line : 6060 BELLAIRE BLVD STE J
Second Line :
City : HOUSTON
State : TX
Zip : 77081-5425
Country : US
Telephone Number : 832-922-0594
Fax Number : 281-437-2148
Provider Business Practice Location Address
First Line : 9908 S GESSNER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77071-1008
Country : US
Telephone Number : 281-501-1008
Fax Number : 281-974-4368
Authorized Official
Title or Position : PIC/MANAGER
Name : JUSTIN OKPALA
Credential :
Telephone Number : 832-922-0594
Provider Enumeration Date : 08/10/2010
Last Update Date : 11/19/2025

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Directions to “AWESOME CARE PHARMACY INC ” Practice Location

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