Provider Demographics
NPI:1679337083
Name:ROSS RX
Entity Type:Organization
Organization Name:ROSS RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHARAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-506-7100
Mailing Address - Street 1:12280 BROADWAY ST STE 3117
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7868
Mailing Address - Country:US
Mailing Address - Phone:281-506-7100
Mailing Address - Fax:281-506-7190
Practice Address - Street 1:12280 BROADWAY ST STE 3117
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7868
Practice Address - Country:US
Practice Address - Phone:281-506-7100
Practice Address - Fax:281-506-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy