Provider Demographics
NPI:1134497829
Name:P. PHARMACY INC
Entity Type:Organization
Organization Name:P. PHARMACY INC
Other - Org Name:BLUEBONNET APOTHECARY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALYASIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-691-6200
Mailing Address - Street 1:9000 RICHMOND AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4925
Mailing Address - Country:US
Mailing Address - Phone:713-691-6200
Mailing Address - Fax:713-691-6202
Practice Address - Street 1:9000 RICHMOND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4925
Practice Address - Country:US
Practice Address - Phone:713-691-6200
Practice Address - Fax:713-691-6202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:P. PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-08
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277893336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty