Provider Demographics
NPI:1831487792
Name:ASTRO PHARMACY LLC
Entity Type:Organization
Organization Name:ASTRO PHARMACY LLC
Other - Org Name:ASTRO PHARMACY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-957-4600
Mailing Address - Street 1:9801 LONG POINT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4189
Mailing Address - Country:US
Mailing Address - Phone:713-957-4600
Mailing Address - Fax:713-957-4601
Practice Address - Street 1:9801 LONG POINT RD STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4189
Practice Address - Country:US
Practice Address - Phone:713-957-4600
Practice Address - Fax:713-957-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
TX275623336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2131098OtherPK