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NPI Code Detail

MEDICARE: RX PHARMACY INC

MEDICARE: RX PHARMACY 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy27898TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12135588OTHERPK

General Provider Information

NPI Number : 1801985593
Entity Type Code : Organization
Provider Name (Legal Business Name) : RX PHARMACY INC
Provider Business Mailing Address
First Line : 5600 S WILLOW DR
Second Line : STE 113
City : HOUSTON
State : TX
Zip : 77035-4713
Country : US
Telephone Number : 713-723-4601
Fax Number : 713-723-4603
Provider Business Practice Location Address
First Line : 5600 S WILLOW DR
Second Line : STE 113
City : HOUSTON
State : TX
Zip : 77035-4713
Country : US
Telephone Number : 713-723-4601
Fax Number : 713-723-4603
Authorized Official
Title or Position : PHARMACY MANAGER
Name : JC JACKSON
Credential : BS
Telephone Number : 713-723-4600
Provider Enumeration Date : 10/12/2006
Last Update Date : 03/08/2017

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Directions to “RX PHARMACY INC ” Practice Location

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