Provider Demographics
NPI:1861960858
Name:DELCEY PHARMACY LLC
Entity type:Organization
Organization Name:DELCEY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:EKIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:346-701-7188
Mailing Address - Street 1:7850 W GRAND PKWY S STE 600
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5876
Mailing Address - Country:US
Mailing Address - Phone:346-701-7188
Mailing Address - Fax:346-867-2937
Practice Address - Street 1:7850 W GRAND PKWY S STE 600
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5876
Practice Address - Country:US
Practice Address - Phone:346-701-7188
Practice Address - Fax:346-867-2937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy