Provider Demographics
NPI:1518573245
Name:HEBRON RX LLC
Entity Type:Organization
Organization Name:HEBRON RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOANG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-206-1406
Mailing Address - Street 1:705 N GREENVILLE AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2171
Mailing Address - Country:US
Mailing Address - Phone:214-206-1406
Mailing Address - Fax:214-722-1434
Practice Address - Street 1:705 N GREENVILLE AVE STE 1000
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-2171
Practice Address - Country:US
Practice Address - Phone:214-206-1406
Practice Address - Fax:214-722-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy