Provider Demographics
NPI:1881085850
Name:SPRINGWOODS PHARMACY LLC
Entity type:Organization
Organization Name:SPRINGWOODS PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-485-4512
Mailing Address - Street 1:25301 BOROUGH PARK DR STE 204
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3568
Mailing Address - Country:US
Mailing Address - Phone:281-485-4512
Mailing Address - Fax:866-611-3513
Practice Address - Street 1:25301 BOROUGH PARK DR STE 204
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3568
Practice Address - Country:US
Practice Address - Phone:281-485-4512
Practice Address - Fax:866-611-3513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX297253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00PK61Medicaid