Provider Demographics
NPI:1225615412
Name:THE PHARMACEUTIC ASSOCIATES INC
Entity Type:Organization
Organization Name:THE PHARMACEUTIC ASSOCIATES INC
Other - Org Name:US PHARMACEUTICA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAZIM
Authorized Official - Middle Name:O
Authorized Official - Last Name:OYENUGA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, PHD, MSE
Authorized Official - Phone:197-290-5489
Mailing Address - Street 1:5969 DALLAS PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7878
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5969 DALLAS PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7878
Practice Address - Country:US
Practice Address - Phone:972-905-4911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0004XSuppliersPharmacyCompounding PharmacyGroup - Multi-Specialty
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty PharmacyGroup - Multi-Specialty