Provider Demographics
NPI:1003257882
Name:ALVIN CARE PHARMACY LLC
Entity Type:Organization
Organization Name:ALVIN CARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:P
Authorized Official - Last Name:LUU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-519-7030
Mailing Address - Street 1:204 E HOUSE ST
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3544
Mailing Address - Country:US
Mailing Address - Phone:281-519-7030
Mailing Address - Fax:281-968-7230
Practice Address - Street 1:204 E HOUSE ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-3544
Practice Address - Country:US
Practice Address - Phone:281-519-7030
Practice Address - Fax:281-968-7230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-09
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7002750001Medicare NSC