Provider Demographics
NPI:1609205194
Name:DOYFRAN DEVELOPERS LLC
Entity Type:Organization
Organization Name:DOYFRAN DEVELOPERS LLC
Other - Org Name:DOYFRAN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENTLEY
Authorized Official - Middle Name:GERRARDE
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-973-8042
Mailing Address - Street 1:9701 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4636
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9701 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE 110
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4636
Practice Address - Country:US
Practice Address - Phone:281-973-8042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28644333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy