Provider Demographics
NPI:1316542939
Name:SUGAR LAND FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:SUGAR LAND FAMILY PHARMACY LLC
Other - Org Name:SUGAR LAND FAMILY PHARMACY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CONCEPCION
Authorized Official - Middle Name:JULIA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-302-5827
Mailing Address - Street 1:16701 CREEK BEND DRIVE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478
Mailing Address - Country:US
Mailing Address - Phone:281-302-5827
Mailing Address - Fax:281-302-5844
Practice Address - Street 1:16701 CREEK BEND DRIVE
Practice Address - Street 2:SUITE 550
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-302-5827
Practice Address - Fax:281-302-5844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy