Provider Demographics
NPI:1902353733
Name:DOCTORS SPECIALTY PHARMACY
Entity Type:Organization
Organization Name:DOCTORS SPECIALTY PHARMACY
Other - Org Name:CAIN PHARMACY MANAGEMENT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-697-7484
Mailing Address - Street 1:8600 FREEPORT PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-1988
Mailing Address - Country:US
Mailing Address - Phone:469-906-2002
Mailing Address - Fax:469-454-1693
Practice Address - Street 1:8600 FREEPORT PKWY STE 110
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-1988
Practice Address - Country:US
Practice Address - Phone:469-906-2002
Practice Address - Fax:469-454-1693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27846183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty