Provider Demographics
NPI:1831837194
Name:ECLECTIC RX CONSULTING, INC.
Entity type:Organization
Organization Name:ECLECTIC RX CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHALONDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-980-5828
Mailing Address - Street 1:2000 CRAWFORD ST STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9071
Mailing Address - Country:US
Mailing Address - Phone:346-980-5828
Mailing Address - Fax:
Practice Address - Street 1:2000 CRAWFORD ST STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9071
Practice Address - Country:US
Practice Address - Phone:346-980-5828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy