Provider Demographics
NPI:1154815256
Name:SURE-RX PHARMACY, LLC
Entity Type:Organization
Organization Name:SURE-RX PHARMACY, LLC
Other - Org Name:SURE-RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:USIHO
Authorized Official - Last Name:UGEGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:915-886-7222
Mailing Address - Street 1:816 FRANKLIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:TX
Mailing Address - Zip Code:79821-7185
Mailing Address - Country:US
Mailing Address - Phone:915-886-7222
Mailing Address - Fax:915-886-7226
Practice Address - Street 1:816 FRANKLIN ST STE A
Practice Address - Street 2:
Practice Address - City:ANTHONY
Practice Address - State:TX
Practice Address - Zip Code:79821-7185
Practice Address - Country:US
Practice Address - Phone:915-886-7222
Practice Address - Fax:915-886-7226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX321203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy