Provider Demographics
NPI:1093005589
Name:WESTCHASE ASSET & ESCROW LTD., CO
Entity Type:Organization
Organization Name:WESTCHASE ASSET & ESCROW LTD., CO
Other - Org Name:SOUTHSIDE PHARMACY 8
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-660-8888
Mailing Address - Street 1:707 23RD ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-2201
Mailing Address - Country:US
Mailing Address - Phone:409-497-2767
Mailing Address - Fax:409-497-2948
Practice Address - Street 1:707 23RD ST
Practice Address - Street 2:SUITE F
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-2201
Practice Address - Country:US
Practice Address - Phone:409-497-2767
Practice Address - Fax:409-497-2948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX274483336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5903643OtherNCPDP