Provider Demographics
NPI:1225402928
Name:DELIVERIT PHARMACY INFUSION CENTER LLC
Entity Type:Organization
Organization Name:DELIVERIT PHARMACY INFUSION CENTER LLC
Other - Org Name:DELIVERIT INFUSION & SPECIALTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EHAB
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABUGHAZALEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-562-6775
Mailing Address - Street 1:12144 DAIRY ASHFORD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13303 W AIRPORT BLVD STE B
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5800
Practice Address - Country:US
Practice Address - Phone:832-939-8137
Practice Address - Fax:832-939-8128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X
TX303443336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2155414OtherPK