Provider Demographics
NPI:1568675940
Name:RX PHARMACY, INC
Entity Type:Organization
Organization Name:RX PHARMACY, INC
Other - Org Name:RX MED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KAWN
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-697-1600
Mailing Address - Street 1:712 E TIDWELL RD STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-1842
Mailing Address - Country:US
Mailing Address - Phone:713-697-1600
Mailing Address - Fax:713-697-1609
Practice Address - Street 1:712 E TIDWELL RD STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-1842
Practice Address - Country:US
Practice Address - Phone:713-697-1600
Practice Address - Fax:713-697-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4544830OtherNCPDP NUMBER