Provider Demographics
NPI:1982183000
Name:PEYTON PHARMACY LLC
Entity Type:Organization
Organization Name:PEYTON PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC (PHARMACIST IN-CHARGE)
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:ZUBAIRUDDIN
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-449-3932
Mailing Address - Street 1:2277 PLAZA DR STE 190
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6601
Mailing Address - Country:US
Mailing Address - Phone:281-552-7514
Mailing Address - Fax:
Practice Address - Street 1:301 S 9TH ST STE 109
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3448
Practice Address - Country:US
Practice Address - Phone:281-552-7514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy