Healthcare Provider Details

I. General information

NPI: 1609787126
Provider Name (Legal Business Name): HEWITT RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N HEWITT DR STE 11
HEWITT TX
76643-0010
US

IV. Provider business mailing address

235 N HEWITT DR STE 11
HEWITT TX
76643-0010
US

V. Phone/Fax

Practice location:
  • Phone: 254-301-7106
  • Fax:
Mailing address:
  • Phone: 254-301-7106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LINDA SALOMON
Title or Position: PRESIDENT
Credential:
Phone: 254-301-7106