Provider Demographics
NPI:1033560735
Name:USPS RETAIL PHARMACY, LLC
Entity Type:Organization
Organization Name:USPS RETAIL PHARMACY, LLC
Other - Org Name:USPS HEALTHCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:832-561-9821
Mailing Address - Street 1:8901 FM 1960 BYPASS WEST, SUITE 301
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338
Mailing Address - Country:US
Mailing Address - Phone:713-325-2700
Mailing Address - Fax:281-605-6644
Practice Address - Street 1:8901 FM 1960 BYPASS WEST, SUITE 301
Practice Address - Street 2:SUITE 301
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:713-325-2700
Practice Address - Fax:281-605-6644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-24
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30906333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2160802OtherPK