Space City Pharmacy

LBN: Space City Pharmacy Llc
Space City Pharmacy is an health care organization with primary practice located at 902 S Friendswood Dr Ste E , Friendswood TX 77546-5154. 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. Space City Pharmacy Llc can be contacted via phone (832) 569-5062, or through Moore, Justin via phone (832) 569-5062.

Contact Information

Primary practice address
902 S Friendswood Dr Ste E Friendswood TX 77546-5154
Phone: (832) 569-5062
Fax: (832) 569-5064
Website:
Map and Directions
Authorized official contact:
Name: Moore, Justin
Phone: (832) 569-5062

Health care specialties

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

Profile Details

NPI number 1982253738
LBN Legal business name Space City Pharmacy Llc
DBA Doing business as Space City Pharmacy
Authorized official Moore, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2019
Last updated Jul 19th, 2021 - about 5 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 1982253738 NPPES
Texas Other 32841 PHARMACY LICENSE

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