Provider Demographics
NPI:1437632387
Name:TX SPECIALTY PHARMACY, LLC
Entity Type:Organization
Organization Name:TX SPECIALTY PHARMACY, LLC
Other - Org Name:TX SPECIALTY RX, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:QUANG
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-518-3296
Mailing Address - Street 1:14511 FALLING CREEK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1280
Mailing Address - Country:US
Mailing Address - Phone:713-518-3296
Mailing Address - Fax:
Practice Address - Street 1:14511 FALLING CREEK DR STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1280
Practice Address - Country:US
Practice Address - Phone:713-518-3296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy