Provider Demographics
NPI:1891019535
Name:D & A COMPANY LLC
Entity Type:Organization
Organization Name:D & A COMPANY LLC
Other - Org Name:FIRST CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIEP
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-698-1532
Mailing Address - Street 1:24922 TOMBALL PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-7872
Mailing Address - Country:US
Mailing Address - Phone:832-698-1532
Mailing Address - Fax:832-698-1549
Practice Address - Street 1:24922 TOMBALL PKWY STE 120
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-7872
Practice Address - Country:US
Practice Address - Phone:832-698-1532
Practice Address - Fax:832-698-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX269183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2124390OtherPK
TXV148123Medicaid