Provider Demographics
NPI:1316220205
Name:LOVING CARE PHARMACY INC
Entity Type:Organization
Organization Name:LOVING CARE PHARMACY INC
Other - Org Name:LOVING CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-608-9157
Mailing Address - Street 1:4406 AIRLINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-2901
Mailing Address - Country:US
Mailing Address - Phone:713-808-9103
Mailing Address - Fax:713-808-9306
Practice Address - Street 1:4406 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-2901
Practice Address - Country:US
Practice Address - Phone:713-808-9103
Practice Address - Fax:713-808-9306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
TX276633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2132113OtherPK