Provider Demographics
NPI:1285870550
Name:PHARMACEUTICAL CARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:PHARMACEUTICAL CARE SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SAWEBAT
Authorized Official - Middle Name:BAKOLA
Authorized Official - Last Name:MARTINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-847-9900
Mailing Address - Street 1:8221 GULF FWY
Mailing Address - Street 2:#550
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017
Mailing Address - Country:US
Mailing Address - Phone:713-847-9900
Mailing Address - Fax:713-847-9904
Practice Address - Street 1:8221 GULF FWY
Practice Address - Street 2:#550
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017
Practice Address - Country:US
Practice Address - Phone:713-847-9900
Practice Address - Fax:713-847-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX262793336C0003X
TX293923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145980Medicaid