Provider Demographics
NPI:1891358537
Name:PHARMACY PLUS HEALTH LLC
Entity Type:Organization
Organization Name:PHARMACY PLUS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:DEWAYNE
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:346-250-1444
Mailing Address - Street 1:5757 FLEWELLEN OAKS LN STE 502
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1858
Mailing Address - Country:US
Mailing Address - Phone:346-707-8276
Mailing Address - Fax:
Practice Address - Street 1:5757 FLEWELLEN OAKS LN STE 502
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1858
Practice Address - Country:US
Practice Address - Phone:346-707-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy