Provider Demographics
NPI:1033421839
Name:MEDIC RX INC.
Entity Type:Organization
Organization Name:MEDIC RX INC.
Other - Org Name:MEDIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINTHOL
Authorized Official - Middle Name:BABY
Authorized Official - Last Name:CHEEMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:281-531-5965
Mailing Address - Street 1:12121 WESTHEIMER RD STE 209
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6654
Mailing Address - Country:US
Mailing Address - Phone:281-531-5965
Mailing Address - Fax:281-531-0311
Practice Address - Street 1:12121 WESTHEIMER RD.
Practice Address - Street 2:209
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077
Practice Address - Country:US
Practice Address - Phone:281-531-5965
Practice Address - Fax:281-531-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146202Medicaid
TX146202Medicaid