Provider Demographics
NPI:1275834046
Name:NOIRX,INC
Entity Type:Organization
Organization Name:NOIRX,INC
Other - Org Name:MAXIMUM HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:WITT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-731-1919
Mailing Address - Street 1:4115 REED RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-2711
Mailing Address - Country:US
Mailing Address - Phone:713-731-1919
Mailing Address - Fax:713-731-7500
Practice Address - Street 1:4115 REED RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-2711
Practice Address - Country:US
Practice Address - Phone:713-731-1919
Practice Address - Fax:713-731-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty