Provider Demographics
NPI:1508570284
Name:PHARMACY THEORY LLC
Entity Type:Organization
Organization Name:PHARMACY THEORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-636-5172
Mailing Address - Street 1:11104 W AIRPORT BLVD STE 131A
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3035
Mailing Address - Country:US
Mailing Address - Phone:281-741-1777
Mailing Address - Fax:281-741-1746
Practice Address - Street 1:11104 W AIRPORT BLVD STE 131A
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3035
Practice Address - Country:US
Practice Address - Phone:281-741-1777
Practice Address - Fax:281-741-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy