# PERRONERX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PerroneRX, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073830386
- **Authorized official:** PAULA PERRONE (MANAGING MEMBER/CEO)
- **Authorized official phone:** (817) 737-7663

## Contact information

- **Practice address:** 3923 HIGHWAY 377, FORT WORTH, TX 76116-7802
- **Practice address phone:** (817) 731-5899
- **Practice address fax:** (817) 731-3069
- **Mailing address:** 3923 HIGHWAY 377, FORT WORTH, TX 76116-7802
- **Mailing address phone:** (817) 737-7663
- **Mailing address fax:** (817) 731-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 26901 | TX | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 10/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2125004 | PK | — |
| 05 | — | 350234 | — | TX |