MEDICARE: LONESTAR RX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy

General Provider Information

NPI Number	:	1528911443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONESTAR RX INC

Provider Business Mailing Address
First Line	:	5400 MITCHELLDALE ST STE A9
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-7224
Country	:	US
Telephone Number	:	713-370-9120
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 MITCHELLDALE ST STE A9
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092-7224
Country	:	US
Telephone Number	:	713-370-9120
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. SHENOUDA MOURGAN
Credential	:	R.PH.
Telephone Number	:	410-603-3559

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “LONESTAR RX INC ” Practice Location

Language	Start Address	Practice Location

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