Healthcare Provider Details

I. General information

NPI: 1639093917
Provider Name (Legal Business Name): RITA DURUGBOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 ELDRIDGE RD
SUGAR LAND TX
77478
US

IV. Provider business mailing address

10201 BUFFALO SPEEDWAY APT 3123
HOUSTON TX
77054-2548
US

V. Phone/Fax

Practice location:
  • Phone: 469-254-2459
  • Fax:
Mailing address:
  • Phone: 469-254-2459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77217
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: