Provider Demographics
NPI:1922759646
Name:SYNERY TEX RX LLC
Entity Type:Organization
Organization Name:SYNERY TEX RX LLC
Other - Org Name:SYNERGY TEX RX LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHANTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:832-215-9116
Mailing Address - Street 1:620 MURPHY RD STE 207
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5927
Mailing Address - Country:US
Mailing Address - Phone:281-969-7129
Mailing Address - Fax:
Practice Address - Street 1:620 MURPHY RD STE 207
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5927
Practice Address - Country:US
Practice Address - Phone:281-969-7129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy