Intracare Community Pharmacy

LBN: Intracare Community Pharmacy Llc
Intracare Community Pharmacy is an health care organization with primary practice located at 1120 Cypress Station Dr Ste 110, Houston TX 77090-3002. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Intracare Community Pharmacy Llc can be contacted via phone (713) 790-7821, or through Scovill, Terry via phone (713) 790-0949.

Contact Information

Primary practice address
1120 Cypress Station Dr Ste 110 Houston TX 77090-3002
Phone: (713) 790-7821
Fax: (713) 790-1620
Website:
Map and Directions
Authorized official contact:
Name: Scovill, Terry PHARM D
Phone: (713) 790-0949

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 25424 Texas
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1508908112
LBN Legal business name Intracare Community Pharmacy Llc
DBA Doing business as Intracare Community Pharmacy
Authorized official Scovill, Terry PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Feb 2nd, 2015 - about 11 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 1508908112 NPPES
Other 2099954 PK
MEDICAID 350203 PK

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