Provider Demographics
NPI:1467148908
Name:ULTIMATE PHARMACY LLC
Entity Type:Organization
Organization Name:ULTIMATE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:NANDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-208-9794
Mailing Address - Street 1:2655 CORDES DR STE 130A
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1460
Mailing Address - Country:US
Mailing Address - Phone:281-990-1690
Mailing Address - Fax:281-990-1691
Practice Address - Street 1:2655 CORDES DR STE 130A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1460
Practice Address - Country:US
Practice Address - Phone:281-990-1690
Practice Address - Fax:281-990-1691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy