Tricare Pharmacy

LBN: Tricare Pharmacy
Tricare Pharmacy is an health care organization with primary practice located at 6121 Hillcroft St Suite J, Houston TX 77081-1002. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Tricare Pharmacy can be contacted via phone (713) 995-5338, or through Shatby, Sabri Wilson via phone (713) 995-5338.

Contact Information

Primary practice address
6121 Hillcroft St Suite J Houston TX 77081-1002
Phone: (713) 995-5338
Fax: (713) 995-5338
Website:
Map and Directions
Authorized official contact:
Name: Shatby, Sabri Wilson B.PHARM
Phone: (713) 995-5338

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 19268 Texas

Profile Details

NPI number 1184763740
LBN Legal business name Tricare Pharmacy
DBA Doing business as
Authorized official Shatby, Sabri Wilson B.PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 22nd, 2020 - 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 1184763740 NPPES
Texas MEDICAID 250458

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