Provider Demographics
NPI:1548401698
Name:ACCU-MED PHARMACY II LLC
Entity Type:Organization
Organization Name:ACCU-MED PHARMACY II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:(PIC) PHARMACIEST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-734-4571
Mailing Address - Street 1:PO BOX 2160
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70073-2160
Mailing Address - Country:US
Mailing Address - Phone:281-734-4571
Mailing Address - Fax:504-322-7036
Practice Address - Street 1:4700 WICHERS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3054
Practice Address - Country:US
Practice Address - Phone:281-734-4571
Practice Address - Fax:504-322-7063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6098333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy