Provider Demographics
NPI:1700216447
Name:UNITED RX, INC.
Entity Type:Organization
Organization Name:UNITED RX, INC.
Other - Org Name:UNITED RX, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-496-1328
Mailing Address - Street 1:6121 HILLCROFT ST
Mailing Address - Street 2:SUITE K-2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1002
Mailing Address - Country:US
Mailing Address - Phone:713-496-1328
Mailing Address - Fax:713-496-1329
Practice Address - Street 1:6121 HILLCROFT ST
Practice Address - Street 2:SUITE K-2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1002
Practice Address - Country:US
Practice Address - Phone:713-496-1328
Practice Address - Fax:713-496-1329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-16
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX288333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2142952OtherPK