Provider Demographics
NPI:1558949537
Name:TESSARI, AUGUST SKY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AUGUST
Middle Name:SKY
Last Name:TESSARI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E 25TH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2308
Mailing Address - Country:US
Mailing Address - Phone:512-796-2460
Mailing Address - Fax:
Practice Address - Street 1:9319 PINECROFT DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3484
Practice Address - Country:US
Practice Address - Phone:281-298-1129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist