Provider Demographics
NPI:1508152125
Name:DB PHARMACY, PLLC
Entity Type:Organization
Organization Name:DB PHARMACY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BAO
Authorized Official - Middle Name:QUOC
Authorized Official - Last Name:TO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED PHARMACIS
Authorized Official - Phone:832-618-0295
Mailing Address - Street 1:12406 BRENTLEYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12100-E VETERANS MEMORIAL DR.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067
Practice Address - Country:US
Practice Address - Phone:281-397-7711
Practice Address - Fax:281-397-7712
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DB PHARMACY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41295183500000X
183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty