Provider Demographics
NPI:1891585402
Name:WOODLANDS CLAIMS HOLDING LLC
Entity type:Organization
Organization Name:WOODLANDS CLAIMS HOLDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SIMONNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:FONSECA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-549-3935
Mailing Address - Street 1:3275 COLLEGE PARK DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4501
Mailing Address - Country:US
Mailing Address - Phone:936-877-1167
Mailing Address - Fax:
Practice Address - Street 1:3275 COLLEGE PARK DR STE 1A
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-4501
Practice Address - Country:US
Practice Address - Phone:936-877-1167
Practice Address - Fax:936-877-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy