Provider Demographics
NPI:1568100170
Name:MEDCITY PHARMACY LLC
Entity Type:Organization
Organization Name:MEDCITY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIP
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:713-382-1738
Mailing Address - Street 1:3334 FM 1092 RD STE 450A
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2287
Mailing Address - Country:US
Mailing Address - Phone:832-987-1671
Mailing Address - Fax:
Practice Address - Street 1:3334 FM 1092 RD STE 450A
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2214
Practice Address - Country:US
Practice Address - Phone:832-987-1671
Practice Address - Fax:832-987-1682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy