Individual ProviderCraig RountreePharmacistPharmacy Service ProvidersPractice Address4801 Troup Hwy Ste 603, Tyler, TX 75703-2357(800) 232-3359PECOS EnrollmentBased on the most recent information from CMS, provider Craig Rountree does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1629518196Provider TypeIndividualFull NameRountree, CraigGenderMaleSole ProprietorNoEnumeration Date3/3/2017Last Updated3/3/2017Contact InformationPractice LocationPractice Address4801 Troup Hwy Ste 603, Tyler, TX 75703-2357Phone(800) 232-3359FaxUnlisted FaxMailing LocationMailing Address4801 Troup Hwy Ste 603, Tyler, TX 75703-2357Phone(800) 232-3359FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseTX34530Texas