Provider Demographics
NPI:1881192185
Name:PHARM HOUSE NEEDVILLE, LLC.
Entity type:Organization
Organization Name:PHARM HOUSE NEEDVILLE, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DELEGATED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:VALORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GINGRICH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-772-1568
Mailing Address - Street 1:PO BOX 1030
Mailing Address - Street 2:
Mailing Address - City:NEEDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77461-1030
Mailing Address - Country:US
Mailing Address - Phone:979-793-5534
Mailing Address - Fax:979-793-5654
Practice Address - Street 1:13400 HIGHWAY 36 STE 118B
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-8487
Practice Address - Country:US
Practice Address - Phone:979-793-5534
Practice Address - Fax:979-793-5534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy