Provider Demographics
NPI:1578139523
Name:MEDICUS RX PHARMACY, INC.
Entity Type:Organization
Organization Name:MEDICUS RX PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:713-899-8123
Mailing Address - Street 1:6550 MAPLERIDGE ST
Mailing Address - Street 2:STE 225
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4648
Mailing Address - Country:US
Mailing Address - Phone:713-292-5099
Mailing Address - Fax:281-407-6309
Practice Address - Street 1:6550 MAPLERIDGE ST
Practice Address - Street 2:STE 225
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-4648
Practice Address - Country:US
Practice Address - Phone:713-292-5099
Practice Address - Fax:281-407-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management