Provider Demographics
NPI:1912635590
Name:VERTEX RX LLC
Entity Type:Organization
Organization Name:VERTEX RX LLC
Other - Org Name:VERTEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVWE
Authorized Official - Middle Name:LUCIA
Authorized Official - Last Name:AZIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-451-6551
Mailing Address - Street 1:2201 THOMPSON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5475
Mailing Address - Country:US
Mailing Address - Phone:832-451-6991
Mailing Address - Fax:832-787-1004
Practice Address - Street 1:2201 THOMPSON RD STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5475
Practice Address - Country:US
Practice Address - Phone:832-451-6991
Practice Address - Fax:832-451-6991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy