Provider Demographics
NPI:1346012887
Name:BAILEY'S PHARMACY LLC
Entity Type:Organization
Organization Name:BAILEY'S PHARMACY LLC
Other - Org Name:BAILEY'S PHARMACY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LADONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-861-4179
Mailing Address - Street 1:21211 FM 529 RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6851
Mailing Address - Country:US
Mailing Address - Phone:281-861-4179
Mailing Address - Fax:
Practice Address - Street 1:21211 FM 529 RD STE 103
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6851
Practice Address - Country:US
Practice Address - Phone:832-816-1926
Practice Address - Fax:888-690-1168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy