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General NPI Number Information
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NPI Number | 1528911443
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Entity Type | Organization
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Legal Business Name | LONESTAR RX INC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 5400 MITCHELLDALE ST STE A9
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City | HOUSTON
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State | TX
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Zip | 77092-7224
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Country | US
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Telephone | 713-370-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 MITCHELLDALE ST STE A9
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City | HOUSTON
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State | TX
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Zip | 77092-7224
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Country | US
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Telephone | 713-370-9120
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. SHENOUDA MOURGAN
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Credential | R.PH.
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Telephone | 410-603-3559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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