Provider Demographics
NPI:1982191912
Name:APN PHARMACY LLC
Entity Type:Organization
Organization Name:APN PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-480-5054
Mailing Address - Street 1:105 N SAN JACINTO AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327
Mailing Address - Country:US
Mailing Address - Phone:832-480-5054
Mailing Address - Fax:832-480-5344
Practice Address - Street 1:105 N SAN JACINTO AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327
Practice Address - Country:US
Practice Address - Phone:832-480-5054
Practice Address - Fax:832-480-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy