Provider Demographics
NPI:1992385165
Name:EMINENT RX LLC
Entity Type:Organization
Organization Name:EMINENT RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TRAMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-682-7550
Mailing Address - Street 1:24420 FM 1314 RD # 300
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-5489
Mailing Address - Country:US
Mailing Address - Phone:281-747-7553
Mailing Address - Fax:281-747-7172
Practice Address - Street 1:24420 FM 1314 RD # 300
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-5489
Practice Address - Country:US
Practice Address - Phone:281-747-7553
Practice Address - Fax:281-747-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy