Provider Demographics
NPI:1437428190
Name:HCP PHARMACY LLC
Entity Type:Organization
Organization Name:HCP PHARMACY LLC
Other - Org Name:STEEPLECHASE EXPRESS RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-314-4903
Mailing Address - Street 1:13414 MEDICAL COMPLEX DR STE 12
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3334
Mailing Address - Country:US
Mailing Address - Phone:346-314-4903
Mailing Address - Fax:832-478-5637
Practice Address - Street 1:13414 MEDICAL COMPLEX DR STE 12
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3334
Practice Address - Country:US
Practice Address - Phone:346-314-4903
Practice Address - Fax:832-478-5637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX275223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2133199OtherPK