Healthcare Provider Details

I. General information

NPI: 1710583356
Provider Name (Legal Business Name): ESCRIPT STAT RX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4017 S FRONT ST
BROOKSHIRE TX
77423
US

IV. Provider business mailing address

6300 WESTPARK DR STE 210
HOUSTON TX
77057-7207
US

V. Phone/Fax

Practice location:
  • Phone: 281-925-9238
  • Fax:
Mailing address:
  • Phone: 713-592-6188
  • Fax: 713-592-6122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State

VIII. Authorized Official

Name: MS. SHAJUIET WEAVER
Title or Position: OWNER
Credential:
Phone: 281-925-9238