Provider Demographics
NPI:1518658095
Name:PHARMOGIC LLC
Entity Type:Organization
Organization Name:PHARMOGIC LLC
Other - Org Name:SUGAR LAND SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKIF
Authorized Official - Middle Name:
Authorized Official - Last Name:NIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-899-4943
Mailing Address - Street 1:13020 DAIRY ASHFORD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4663
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13020 DAIRY ASHFORD RD STE 105
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4663
Practice Address - Country:US
Practice Address - Phone:832-974-1237
Practice Address - Fax:832-974-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy