Provider Demographics
NPI:1457918112
Name:SOCH PHARMACY LLC
Entity Type:Organization
Organization Name:SOCH PHARMACY LLC
Other - Org Name:EL SHIFFA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-570-5196
Mailing Address - Street 1:12579 RICHMOND AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2554
Mailing Address - Country:US
Mailing Address - Phone:832-386-9924
Mailing Address - Fax:
Practice Address - Street 1:12579 RICHMOND AVE STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2554
Practice Address - Country:US
Practice Address - Phone:346-570-5196
Practice Address - Fax:346-570-5198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150050Medicaid
TX1457918112OtherNPI