Provider Demographics
NPI:1760713242
Name:TRUECARE ALLIED PHARMACY AND MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:TRUECARE ALLIED PHARMACY AND MEDICAL SUPPLIES INC
Other - Org Name:TRUECARE ALLIED PHARMACY AND MEDICAL SUPPLIES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OBASI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-652-8080
Mailing Address - Street 1:3003 S LOOP W
Mailing Address - Street 2:SUITE 450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1301
Mailing Address - Country:US
Mailing Address - Phone:281-652-8080
Mailing Address - Fax:281-501-1438
Practice Address - Street 1:3003 S LOOP W STE 450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1315
Practice Address - Country:US
Practice Address - Phone:281-652-8080
Practice Address - Fax:281-501-1438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26774333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146113Medicaid
2123682OtherPK