Provider Demographics
NPI:1518637750
Name:IV RX PHARMACY & MEDICAL SUPPLY GROUP LLC
Entity Type:Organization
Organization Name:IV RX PHARMACY & MEDICAL SUPPLY GROUP LLC
Other - Org Name:IV RX PHARMACY & MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-703-0033
Mailing Address - Street 1:10540 FM 1488 RD STE 140B
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6773
Mailing Address - Country:US
Mailing Address - Phone:832-296-7946
Mailing Address - Fax:346-202-0225
Practice Address - Street 1:10540 FM 1488 RD STE 140B
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-6773
Practice Address - Country:US
Practice Address - Phone:832-296-7946
Practice Address - Fax:346-202-0225
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IV RX PHARMACY & MEDICAL SUPPLY GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-19
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy