Provider Demographics
NPI:1588216311
Name:ASA PHARMACY LLC
Entity Type:Organization
Organization Name:ASA PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALALA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:936-825-3470
Mailing Address - Street 1:419 N LA SALLE ST
Mailing Address - Street 2:
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868-2435
Mailing Address - Country:US
Mailing Address - Phone:936-825-3470
Mailing Address - Fax:
Practice Address - Street 1:419 N LA SALLE ST
Practice Address - Street 2:
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868-2435
Practice Address - Country:US
Practice Address - Phone:936-825-3470
Practice Address - Fax:936-825-3472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy