Provider Demographics
NPI:1922451442
Name:HURRICANE SPECIALTY PHARMACY LLC
Entity Type:Organization
Organization Name:HURRICANE SPECIALTY PHARMACY LLC
Other - Org Name:UNITED SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ONDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-393-2222
Mailing Address - Street 1:230 CONQUEST
Mailing Address - Street 2:SUITE H-2
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-0227
Mailing Address - Country:US
Mailing Address - Phone:956-393-2222
Mailing Address - Fax:956-393-2224
Practice Address - Street 1:230 CONQUEST STE H-2
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-0227
Practice Address - Country:US
Practice Address - Phone:956-393-2222
Practice Address - Fax:956-393-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX307523336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2164158OtherPK