Provider Demographics
NPI:1659681252
Name:TUCKER, HELLE BORGEN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:HELLE
Middle Name:BORGEN
Last Name:TUCKER
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 1:1058 HERCULES AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2722
Mailing Address - Country:US
Mailing Address - Phone:281-480-0327
Mailing Address - Fax:281-480-0304
Practice Address - Street 1:1058 HERCULES AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2722
Practice Address - Country:US
Practice Address - Phone:281-480-0327
Practice Address - Fax:281-480-0304
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40661183500000X
TX40083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist