Provider Demographics
NPI:1972924975
Name:CARETECTURE LLC
Entity Type:Organization
Organization Name:CARETECTURE LLC
Other - Org Name:THE PHARMACOMPOUNDIA - CLINICAL PHARMACEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAZIM
Authorized Official - Middle Name:
Authorized Official - Last Name:OYENUGA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RPH
Authorized Official - Phone:484-612-2324
Mailing Address - Street 1:6001 WINDHAVEN PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8017
Mailing Address - Country:US
Mailing Address - Phone:972-473-6867
Mailing Address - Fax:
Practice Address - Street 1:6001 WINDHAVEN PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8017
Practice Address - Country:US
Practice Address - Phone:972-473-6867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287173336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy