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Organization
WORTHINGTON LLC
Active
Organization
WORTHINGTON LLC
Active
Other names
Texas Direct RX
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL RUST (OWNER)
(936) 283-5501
Entity
Organization
Contact information
Practice address
951 E LOOP 304 STE D, CROCKETT, TX 75835-5403
(936) 283-5501
(936) 545-2843
Mailing address
951 E LOOP 304 STE D, CROCKETT, TX 75835-5403
(936) 283-5501
(936) 545-2843
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33288
TEXAS BOARD OF PHARMACY
TX
05
—
691107
—
TX
Enumeration date
06/17/2020
Last updated
03/23/2021
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