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NPI Code Detail

MEDICARE: AIRLINE PHARMACY ASSOCIATES LLC

MEDICARE: AIRLINE PHARMACY ASSOCIATES 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
1333600000XPharmacy27646TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22133392OTHERPK

General Provider Information

NPI Number : 1972766590
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIRLINE PHARMACY ASSOCIATES LLC
Provider Business Mailing Address
First Line : 11012 AIRLINE DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 281-260-9927
Fax Number : 281-260-9947
Provider Business Practice Location Address
First Line : 11012 AIRLINE DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 281-260-9927
Fax Number : 281-260-9947
Authorized Official
Title or Position : ADMIN/OWNER
Name : JOSE GONZALEZ
Credential :
Telephone Number : 281-260-9927
Provider Enumeration Date : 07/03/2008
Last Update Date : 09/27/2013

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Directions to “AIRLINE PHARMACY ASSOCIATES LLC ” Practice Location

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