# MEDRX SPECIALTY PHARMACY, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedRx Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386067007
- **Authorized official:** MR. JERMAINE CHRISTOPHER ALLEN (MANAGER/OWNER)
- **Authorized official phone:** (713) 303-3189

## Contact information

- **Practice address:** 4726 E TEXAS ST, SUITE 230, BOSSIER CITY, LA 71111-2545
- **Practice address phone:** (855) 825-5014
- **Practice address fax:** (855) 848-1141
- **Mailing address:** P.O. BOX 2188, CYPRESS, TX 77410
- **Mailing address phone:** (713) 303-3189
- **Mailing address fax:** (855) 848-1141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.6828 | LA | Yes |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 02/08/2017