Provider Demographics
NPI:1922878552
Name:RESCUE PHARMACY INC
Entity Type:Organization
Organization Name:RESCUE PHARMACY INC
Other - Org Name:RESCUE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOMTOCHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:AGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-762-2061
Mailing Address - Street 1:4203 AVENUE H STE 7
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2843
Mailing Address - Country:US
Mailing Address - Phone:281-762-2061
Mailing Address - Fax:
Practice Address - Street 1:4203 AVENUE H STE 7
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2843
Practice Address - Country:US
Practice Address - Phone:281-762-2061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy