Provider Demographics
NPI:1861992299
Name:ARIA PHARMACY, LLC
Entity type:Organization
Organization Name:ARIA PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PINARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-953-2929
Mailing Address - Street 1:17819 STUEBNER AIRLINE RD STE K
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5419
Mailing Address - Country:US
Mailing Address - Phone:832-953-2929
Mailing Address - Fax:
Practice Address - Street 1:17819 STUEBNER AIRLINE RD STE K
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5419
Practice Address - Country:US
Practice Address - Phone:832-953-2929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31604333600000X, 3336C0004X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX31604OtherSTATE BOARD OF PHARMACY LICENSE