Provider Demographics
NPI:1407482599
Name:TOT PHARMACY LLC
Entity Type:Organization
Organization Name:TOT PHARMACY LLC
Other - Org Name:TOT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILVEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-345-3925
Mailing Address - Street 1:7922 N. MACARTHUR BLVD # 1073
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5477
Mailing Address - Country:US
Mailing Address - Phone:979-345-3925
Mailing Address - Fax:979-345-3926
Practice Address - Street 1:656 W. BRAZOS DRIVE
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:TX
Practice Address - Zip Code:77486-7748
Practice Address - Country:US
Practice Address - Phone:979-345-3925
Practice Address - Fax:979-345-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy