# PHARMPRORX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHARMPRORX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174622005
- **Authorized official:** TODD SILUK (PIC)
- **Authorized official phone:** (832) 581-5886

## Contact information

- **Practice address:** 1105 SANTA FE DR, STE 107, WEATHERFORD, TX 76086-5811
- **Practice address phone:** (682) 262-1506
- **Practice address fax:** (817) 599-9673
- **Mailing address:** 1105 SANTA FE DR, STE 107, WEATHERFORD, TX 76086-5811
- **Mailing address phone:** (682) 262-1506
- **Mailing address fax:** (972) 332-3672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 28032 | TX | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 10/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2094072 | PK | — |
