Space City Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Friendswood, TX. Organization (NPI-2).
NPI number1982253738
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1982253738
- Entity type
- Organization (NPI-2)
- Legal business name
- Space City Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2019
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Space City Pharmacy (Other Name)
Practice location
902 S Friendswood Dr Ste EFriendswood, TX 77546-5154
Phone 832-569-5062 · Fax 832-569-5064
Mailing address
902 S Friendswood Dr Ste EFriendswood, TX 77546-5154
Phone 832-569-5062 · Fax 832-569-5064
Authorized official
Justin Moore
Managing Member
8325695062
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All 9 Community/Retail Pharmacy providers in Friendswood · All 1,047 providers in Friendswood
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