MEDICARE: MEDPLUS 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	3336C0003X	Community/Retail Pharmacy	27253	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619279635
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDPLUS RX INC.

Provider Business Mailing Address
First Line	:	7636 HARWIN DR STE C319
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1939
Country	:	US
Telephone Number	:	713-779-5400
Fax Number	:	713-779-5402

Provider Business Practice Location Address
First Line	:	7636 HARWIN DR STE C319
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1939
Country	:	US
Telephone Number	:	713-779-5400
Fax Number	:	713-779-5402

Authorized Official
Title or Position	:	PIC
Name	:	DR. MOJISOLA R CARDOZO
Credential	:	PHARMD.
Telephone Number	:	713-779-5400

Provider Enumeration Date	:	11/23/2010
Last Update Date	:	11/05/2018

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Directions to “MEDPLUS RX INC. ” Practice Location

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