Provider Demographics
NPI:1407001068
Name:PD & SONS LLC
Entity Type:Organization
Organization Name:PD & SONS LLC
Other - Org Name:ROSA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-300-4490
Mailing Address - Street 1:2121 TIPPERARY DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5149
Mailing Address - Country:US
Mailing Address - Phone:281-484-6130
Mailing Address - Fax:281-481-6627
Practice Address - Street 1:11002 SCARSDALE BLVD
Practice Address - Street 2:STE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-5973
Practice Address - Country:US
Practice Address - Phone:281-481-6602
Practice Address - Fax:281-481-6627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX262393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117939OtherPK