Provider Demographics
NPI:1194726919
Name:PRECISION DRUGS, LLC
Entity type:Organization
Organization Name:PRECISION DRUGS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:YUWEN
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-541-1234
Mailing Address - Street 1:9180 BELLAIRE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4697
Mailing Address - Country:US
Mailing Address - Phone:713-541-1234
Mailing Address - Fax:713-541-1101
Practice Address - Street 1:9180 BELLAIRE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4697
Practice Address - Country:US
Practice Address - Phone:713-541-1234
Practice Address - Fax:713-541-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6487710001332B00000X
TX263663336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146000Medicaid
TX6487710001Medicare NSC