Provider Demographics
NPI:1619392016
Name:HEALTH RX SCRIPTS LLC
Entity Type:Organization
Organization Name:HEALTH RX SCRIPTS LLC
Other - Org Name:HEALTH RX SCRIPTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, AO, PHCY MANAGER, PIC,CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:832-740-4353
Mailing Address - Street 1:900 S WAYSIDE DR
Mailing Address - Street 2:SUITE 400 A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3427
Mailing Address - Country:US
Mailing Address - Phone:832-740-4353
Mailing Address - Fax:832-740-4386
Practice Address - Street 1:900 S WAYSIDE DR
Practice Address - Street 2:SUITE 400 A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3427
Practice Address - Country:US
Practice Address - Phone:832-740-4353
Practice Address - Fax:832-740-4386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-22
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
TX299203336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145374OtherPK
TX147094Medicaid
2145374OtherPK