National Provider Identifier Database

TRICARE PHARMACY
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

TRICARE PHARMACY
6121 HILLCROFT ST
SUITE J
HOUSTON, TX77081-1002
Phone: 713-995-5338
Fax: 713-995-5338
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for TRICARE PHARMACY

NPI Number 1184763740
Legal business name
LBN
TRICARE PHARMACY
Authorized official SABRI SHATBY - (OWNER, PIC)
Entity Organization
Organization subpart No
Enumeration date 02/06/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 19268
  • TX Medicaid: 250458

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TRICARE PHARMACY

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