Provider Demographics
NPI:1609114594
Name:DELCOX RETAIL INDUSTRIES INC
Entity Type:Organization
Organization Name:DELCOX RETAIL INDUSTRIES INC
Other - Org Name:JV DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-971-4523
Mailing Address - Street 1:5005 W 34TH ST
Mailing Address - Street 2:SUITE 204-A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-4200
Mailing Address - Country:US
Mailing Address - Phone:281-971-4523
Mailing Address - Fax:281-471-4040
Practice Address - Street 1:5005 W 34TH ST
Practice Address - Street 2:SUITE 204-A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-4200
Practice Address - Country:US
Practice Address - Phone:281-971-4523
Practice Address - Fax:281-471-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX271633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy