| NPI | 1275675167 |
|---|---|
| Doing Business As | SPECIALIZED PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SEAN FANNING Manager 281-987-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 25309) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: TX 25309) |
| 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 25309) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: TX 25309) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |