Provider Demographics
NPI:1790319713
Name:TITANIUMRX PLLC
Entity Type:Organization
Organization Name:TITANIUMRX PLLC
Other - Org Name:TITANIUMRX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:CAROLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-363-1246
Mailing Address - Street 1:2116 THOMPSON RD STE G1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5428
Mailing Address - Country:US
Mailing Address - Phone:832-363-1246
Mailing Address - Fax:832-363-1612
Practice Address - Street 1:2116 THOMPSON RD STE G1
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5428
Practice Address - Country:US
Practice Address - Phone:832-363-1246
Practice Address - Fax:281-715-4752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy