Provider Demographics
NPI:1467811042
Name:ECURB SOLUTIONS LLC
Entity Type:Organization
Organization Name:ECURB SOLUTIONS LLC
Other - Org Name:HOME RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTIONETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-969-7943
Mailing Address - Street 1:2503 S MAIN ST
Mailing Address - Street 2:UNIT O
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5544
Mailing Address - Country:US
Mailing Address - Phone:281-969-7943
Mailing Address - Fax:281-969-7943
Practice Address - Street 1:2503 S MAIN ST STE O
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5544
Practice Address - Country:US
Practice Address - Phone:281-969-7943
Practice Address - Fax:281-969-7943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30390333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2158011OtherPK