Provider Demographics
NPI:1174887012
Name:HEALTHSCRIPTS OF AMERICA-HOUSTON MEDICAL CENTER LLC
Entity type:Organization
Organization Name:HEALTHSCRIPTS OF AMERICA-HOUSTON MEDICAL CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-549-6681
Mailing Address - Street 1:2060 SPACE PARK DR STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3674
Mailing Address - Country:US
Mailing Address - Phone:281-549-6681
Mailing Address - Fax:281-549-6683
Practice Address - Street 1:2060 SPACE PARK DR STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3674
Practice Address - Country:US
Practice Address - Phone:281-549-6681
Practice Address - Fax:281-549-6683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX293583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2147343OtherPK