Provider Demographics
NPI:1881945970
Name:DRUG MASTERS PHARMACY LLC
Entity type:Organization
Organization Name:DRUG MASTERS PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SAJU
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTHAPPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-290-2944
Mailing Address - Street 1:1 FLAMINGO ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4491
Mailing Address - Country:US
Mailing Address - Phone:386-290-2944
Mailing Address - Fax:
Practice Address - Street 1:7208 N SHEPHERD DR STE 106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2435
Practice Address - Country:US
Practice Address - Phone:713-884-1686
Practice Address - Fax:713-884-1682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5907071OtherNCPDP PROVIDER IDENTIFICATION NUMBER