Provider Demographics
NPI:1598531832
Name:COSTUS PHARMACEUTICALS LLC
Entity type:Organization
Organization Name:COSTUS PHARMACEUTICALS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-650-0364
Mailing Address - Street 1:2710 FM 1092 RD STE E
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5641
Mailing Address - Country:US
Mailing Address - Phone:832-650-0364
Mailing Address - Fax:832-650-0362
Practice Address - Street 1:2710 FM 1092 RD STE E
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5641
Practice Address - Country:US
Practice Address - Phone:832-650-0364
Practice Address - Fax:832-650-0362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy