Provider Demographics
NPI:1982201588
Name:MEDROCS CORPORATION LLC
Entity Type:Organization
Organization Name:MEDROCS CORPORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRAWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-244-0685
Mailing Address - Street 1:8901 VIRGINIA PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5707
Mailing Address - Country:US
Mailing Address - Phone:469-625-1000
Mailing Address - Fax:
Practice Address - Street 1:8901 VIRGINIA PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5707
Practice Address - Country:US
Practice Address - Phone:469-625-1000
Practice Address - Fax:469-519-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy