Provider Demographics
NPI:1376291070
Name:MAJESTIC RX ENTERPRISES, LLC
Entity Type:Organization
Organization Name:MAJESTIC RX ENTERPRISES, LLC
Other - Org Name:NTD RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-679-9618
Mailing Address - Street 1:15211 FONDREN RD # A-600
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1456
Mailing Address - Country:US
Mailing Address - Phone:346-907-5591
Mailing Address - Fax:346-907-5608
Practice Address - Street 1:15211 FONDREN RD # A-600
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1456
Practice Address - Country:US
Practice Address - Phone:346-907-5591
Practice Address - Fax:346-907-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-13
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy