Provider Demographics
NPI:1295308724
Name:SKIPCARE PHARMACY LLC
Entity type:Organization
Organization Name:SKIPCARE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-577-3276
Mailing Address - Street 1:21013 OLD SORTERS RD STE C
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-7083
Mailing Address - Country:US
Mailing Address - Phone:281-577-3276
Mailing Address - Fax:281-577-3967
Practice Address - Street 1:21013 OLD SORTERS RD STE C
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-7083
Practice Address - Country:US
Practice Address - Phone:281-577-3276
Practice Address - Fax:281-577-3967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy