Provider Demographics
NPI:1699570663
Name:MEDICIRCLE PHARMACY LLC
Entity type:Organization
Organization Name:MEDICIRCLE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNLICHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-380-4406
Mailing Address - Street 1:1213 HERMANN DR STE 515
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7011
Mailing Address - Country:US
Mailing Address - Phone:832-380-4400
Mailing Address - Fax:
Practice Address - Street 1:1213 HERMANN DR STE 515
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7011
Practice Address - Country:US
Practice Address - Phone:832-380-4400
Practice Address - Fax:832-202-1304
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICIRCLE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy