Provider Demographics
NPI:1720557846
Name:STRIKER PHARMACY LLC
Entity Type:Organization
Organization Name:STRIKER PHARMACY LLC
Other - Org Name:STRIKER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:K
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:832-324-5823
Mailing Address - Street 1:1330 PIN OAK RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6848
Mailing Address - Country:US
Mailing Address - Phone:832-324-5823
Mailing Address - Fax:
Practice Address - Street 1:1330 PIN OAK RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6848
Practice Address - Country:US
Practice Address - Phone:832-324-5823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149952Medicaid