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NPI Code Detail

MEDICARE: AAA RX PHARMACY LLC

MEDICARE: AAA RX PHARMACY 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy31089TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12166094OTHERPK

General Provider Information

NPI Number : 1932560182
Entity Type Code : Organization
Provider Name (Legal Business Name) : AAA RX PHARMACY LLC
Provider Business Mailing Address
First Line : 6725 S FRY RD STE 700-532
Second Line : STE 700-532
City : KATY
State : TX
Zip : 77494-8102
Country : US
Telephone Number : 281-717-8877
Fax Number : 281-717-8847
Provider Business Practice Location Address
First Line : 569 S MASON RD
Second Line :
City : KATY
State : TX
Zip : 77450-2437
Country : US
Telephone Number : 281-717-8877
Fax Number : 281-717-8847
Authorized Official
Title or Position : MANAGING OFFICER
Name : THOMAS NGUYEN
Credential :
Telephone Number : 281-717-8877
Provider Enumeration Date : 03/16/2016
Last Update Date : 07/19/2018

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Directions to “AAA RX PHARMACY LLC ” Practice Location

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