Provider Demographics
NPI:1669692828
Name:PHARMCARE LLC
Entity type:Organization
Organization Name:PHARMCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:H
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-996-7500
Mailing Address - Street 1:1834 BROADWAY ST
Mailing Address - Street 2:STE 106
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5668
Mailing Address - Country:US
Mailing Address - Phone:281-996-7500
Mailing Address - Fax:281-996-7636
Practice Address - Street 1:1834 BROADWAY ST
Practice Address - Street 2:STE 106
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5668
Practice Address - Country:US
Practice Address - Phone:281-996-7500
Practice Address - Fax:281-996-7636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145373Medicaid
TX22704OtherSTATE PHARMACY LICENSE
TX22704OtherSTATE PHARMACY LICENSE
TX4799240001Medicare ID - Type Unspecified