Provider Demographics
NPI:1194952325
Name:PRIMECARE PHARMACY
Entity type:Organization
Organization Name:PRIMECARE PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HEMANTKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-247-9380
Mailing Address - Street 1:7118 BRAMLETT CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5634
Mailing Address - Country:US
Mailing Address - Phone:832-247-9380
Mailing Address - Fax:713-661-7747
Practice Address - Street 1:5900 CHIMNEY ROCK RD.
Practice Address - Street 2:STE AC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081
Practice Address - Country:US
Practice Address - Phone:832-247-9380
Practice Address - Fax:713-661-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy