Space City Pharmacy LLC
NPI #1982253738 in Friendswood, Texas
Provider Information
- NPI Number
- 1982253738
- Entity Type
- Organization
- Organization Name
- Space City Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 4, 2019
- Last Updated
- Jul 19, 2021
Practice Location
- Address
- 902 S FRIENDSWOOD DR STE E
- City
- Friendswood
- State
- Texas
- ZIP Code
- 77546-5154
- Phone
- (832) 569-5062
Authorized Official
- Name
- MR. JUSTIN MOORE
- Title
- MANAGING MEMBER
- Phone
- (832) 569-5062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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