Provider Demographics
NPI:1265163901
Name:NORTEX PHARMACY LLC
Entity type:Organization
Organization Name:NORTEX PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:RYUN
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-984-8722
Mailing Address - Street 1:5796 E STATE HIGHWAY 114 STE 5A
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-2079
Mailing Address - Country:US
Mailing Address - Phone:817-984-8722
Mailing Address - Fax:817-984-8724
Practice Address - Street 1:5796 E STATE HIGHWAY 114 STE 5A
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-2079
Practice Address - Country:US
Practice Address - Phone:817-984-8722
Practice Address - Fax:817-984-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy