PHYSICIANS PAVILION PHARMACY
Pharmacy at Southwest Fwy, Sugar Land, TX

License number
Texas 28719
Category
Suppliers
Type
Pharmacy
Owner
Name: BLAKE LANCASTER
Title: PHARMACY MANAGER
Phone: (205) 795-8800
Address
Address
16902 Southwest Fwy SOUTHWEST SUITE 106, Sugar Land, TX 77479
National Provider ID: 1689009276
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICIANS PAVILION PHARMACY, LLC

Sugar Land, TX

Doing business as:
Physicians Pavilion Pharmacy, LLC
Registration:
Jul 17, 2013
Addresses:
16902 SW Fwy STE 100, Sugar Land, TX 77479 (Mailing)
15902 SW Fwy, Sugar Land, TX 77478
State ID:
0801819692
Business type:
Domestic Limited Liability Company (LLC)
Members:
John Pozzi (DIRECTOR), 16902 SW Fwy, Sugar Land, TX 77479,John Vanderzyl (DIRECTOR), 16902 SW Fwy, Sugar Land, TX 77479,John Vandezeyl (Director, Managing Member),...
Agent:
John R. Vanderzyl,16902 SW Fwy #100, Sugar Land, TX 77479 (Physical)
TIN:
32051519877

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