Provider Demographics
NPI:1801563069
Name:A PLUS MEDICINE LLC
Entity type:Organization
Organization Name:A PLUS MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ADETOLA
Authorized Official - Middle Name:OLUWASEUN
Authorized Official - Last Name:ADEMOLU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:281-225-0107
Mailing Address - Street 1:1922 GREENHOUSE RD STE 650
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-8049
Mailing Address - Country:US
Mailing Address - Phone:281-225-0107
Mailing Address - Fax:281-225-0108
Practice Address - Street 1:1922 GREENHOUSE RD STE 650
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-8049
Practice Address - Country:US
Practice Address - Phone:281-225-0107
Practice Address - Fax:281-225-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150543Medicaid
TX803508518OtherFILE NUMBER FOR CERTIFICATE OF FILING WITH SECRETARY OF STATE IN TEXAS