Provider Demographics
NPI:1477214997
Name:TRUCARE PHARMACY LLC
Entity Type:Organization
Organization Name:TRUCARE PHARMACY LLC
Other - Org Name:TRUCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:ZIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GHEEWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-626-5600
Mailing Address - Street 1:7206 HIGHWAY 271 S
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72908-8017
Mailing Address - Country:US
Mailing Address - Phone:479-922-2253
Mailing Address - Fax:479-922-2255
Practice Address - Street 1:12615 W AIRPORT BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-6203
Practice Address - Country:US
Practice Address - Phone:832-626-5600
Practice Address - Fax:833-481-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy