MEDICARE: MAS PHARMACY RX 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
3	3336C0004X	Compounding Pharmacy
4	3336C0003X	Community/Retail Pharmacy	27643	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2132557	OTHER		PK

General Provider Information

NPI Number	:	1932486800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAS PHARMACY RX LLC

Provider Business Mailing Address
First Line	:	9355 LONG POINT RD STE L
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-4481
Country	:	US
Telephone Number	:	713-465-6113
Fax Number	:	713-465-6119

Provider Business Practice Location Address
First Line	:	9355 LONG POINT RD STE L
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-4481
Country	:	US
Telephone Number	:	713-465-6113
Fax Number	:	713-465-6119

Authorized Official
Title or Position	:	PHARMACIST-IN-CHARGE/OWNER
Name	:	MAGDALENE NYLANDER
Credential	:
Telephone Number	:	713-724-2194

Provider Enumeration Date	:	11/07/2011
Last Update Date	:	06/23/2025

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Directions to “MAS PHARMACY RX LLC ” Practice Location

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