Provider Demographics
NPI:1790054005
Name:C AND P PHARMACY
Entity Type:Organization
Organization Name:C AND P PHARMACY
Other - Org Name:C AND P PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-249-4726
Mailing Address - Street 1:8312A LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2050
Mailing Address - Country:US
Mailing Address - Phone:713-827-9000
Mailing Address - Fax:713-827-9001
Practice Address - Street 1:8312 LONG POINT RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2050
Practice Address - Country:US
Practice Address - Phone:713-827-9000
Practice Address - Fax:713-827-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX274793336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5904695OtherNCPDP PROVIDER IDENTIFICATION NUMBER