<Unavail>

LBN: Brazo Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 1100 Fm 1092 Rd Ste D , Missouri City TX 77459-1588. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Brazo Pharmacy Llc can be contacted via phone (281) 651-5246, or through Stuart, Kimberly J via phone (281) 651-5246.

Contact Information

Primary practice address
1100 Fm 1092 Rd Ste D Missouri City TX 77459-1588
Phone: (281) 651-5246
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stuart, Kimberly J
Phone: (281) 651-5246

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740793595
LBN Legal business name Brazo Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Stuart, Kimberly J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2017
Last updated Apr 11th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740793595 NPPES
Texas Other 31919 STATE LICENSE
Texas MEDICAID 149897 STATE LICENSE

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