Provider Demographics
NPI:1114518552
Name:DES PHARMACY LLC
Entity Type:Organization
Organization Name:DES PHARMACY LLC
Other - Org Name:DES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HUY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-777-7059
Mailing Address - Street 1:13405 SOUTHWEST FWY
Mailing Address - Street 2:STE 111
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3559
Mailing Address - Country:US
Mailing Address - Phone:832-777-7059
Mailing Address - Fax:
Practice Address - Street 1:13405 SOUTHWEST FWY
Practice Address - Street 2:STE 111
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3559
Practice Address - Country:US
Practice Address - Phone:832-777-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty