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MOUNTAIN CARE PHARMACY HOUSTON LLC NPI 1013356112


NPI Information

NPI: 1013356112
Provider Name: MOUNTAIN CARE PHARMACY HOUSTON LLC

Doing Business As: MOUNTAIN CARE PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
10665 RICHMOND AVE STE 195
HOUSTON, TX
ZIP 77042
Phone: (713) 300-0191
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MOUNTAIN CARE PHARMACY HOUSTON LLC is a specialty pharmacy pharmacy in Houston, TX. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. MOUNTAIN CARE PHARMACY HOUSTON LLC NPI is 1013356112. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Care Pharmacy.

The provider's business location address is:

10665 RICHMOND AVE STE 195
HOUSTON, TX
ZIP 77042-110
Phone: (713) 300-0191

The provider's authorized official is Jared Memmott .
The authorized official title is Director Of Compliance and has the following contact phone number (801) 713-0106.

The enumeration date for this NPI number is 6/21/2013 and was last updated on 10/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336S0011XPharmacySpecialty Pharmacy28722TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12141042OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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