Provider Demographics
NPI:1144494014
Name:TOTAL PHARMACY AND COMPOUNDING SERVICES
Entity type:Organization
Organization Name:TOTAL PHARMACY AND COMPOUNDING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHRMD
Authorized Official - Phone:713-528-6337
Mailing Address - Street 1:5020 MONTROSE BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6533
Mailing Address - Country:US
Mailing Address - Phone:713-528-6337
Mailing Address - Fax:713-528-7337
Practice Address - Street 1:5020 MONTROSE BLVD
Practice Address - Street 2:STE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-6533
Practice Address - Country:US
Practice Address - Phone:713-528-6337
Practice Address - Fax:713-528-7337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0004X
TX259333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4548042OtherNCPDP PROVIDER IDENTIFICATION NUMBER