Provider Demographics
NPI:1891090593
Name:COLT STRATEGIES LLC
Entity Type:Organization
Organization Name:COLT STRATEGIES LLC
Other - Org Name:TEJAS PHARMACY #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:B
Authorized Official - Last Name:IMBER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-741-3385
Mailing Address - Street 1:5228 ALDINE MAIL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77039-3804
Mailing Address - Country:US
Mailing Address - Phone:281-741-3385
Mailing Address - Fax:281-741-3915
Practice Address - Street 1:5228 ALDINE MAIL RD
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-3804
Practice Address - Country:US
Practice Address - Phone:281-741-3385
Practice Address - Fax:281-741-3915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX272803336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy