Provider Demographics
NPI:1710600408
Name:SERENE PHARMA SOLUTIONS LLC
Entity Type:Organization
Organization Name:SERENE PHARMA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:BAMIDELE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-818-7499
Mailing Address - Street 1:3900 JOE RAMSEY BLVD E STE 2A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-7768
Mailing Address - Country:US
Mailing Address - Phone:430-242-1028
Mailing Address - Fax:430-242-1051
Practice Address - Street 1:3900 JOE RAMSEY BLVD E STE 2A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-7768
Practice Address - Country:US
Practice Address - Phone:430-242-1028
Practice Address - Fax:430-242-1051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy