Provider Demographics
NPI:1659110278
Name:OYSTERCARE LLC
Entity type:Organization
Organization Name:OYSTERCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENUKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-650-6768
Mailing Address - Street 1:1443 FM 1463 RD STE 650
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5437
Mailing Address - Country:US
Mailing Address - Phone:281-769-1444
Mailing Address - Fax:281-665-8891
Practice Address - Street 1:113 OYSTER CREEK DR STE A
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-4192
Practice Address - Country:US
Practice Address - Phone:979-270-6009
Practice Address - Fax:979-270-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy