Provider Demographics
NPI:1447079751
Name:FIELDS PHARMACY ,LLC
Entity type:Organization
Organization Name:FIELDS PHARMACY ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-387-2352
Mailing Address - Street 1:2313 MAIN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-8581
Mailing Address - Country:US
Mailing Address - Phone:936-600-5600
Mailing Address - Fax:936-777-6968
Practice Address - Street 1:2313 MAIN ST STE 120
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-8581
Practice Address - Country:US
Practice Address - Phone:936-600-5600
Practice Address - Fax:936-777-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy