Organization
PERRONERX LLC
Active
Other names
PerroneRX, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PERRONE (MANAGING MEMBER/CEO)
(817) 737-7663
Entity
Organization
Contact information
Practice address
3923 HIGHWAY 377, FORT WORTH, TX 76116-7802
(817) 731-5899
(817) 731-3069
Mailing address
3923 HIGHWAY 377, FORT WORTH, TX 76116-7802
(817) 737-7663
(817) 731-7711
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
26901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125004
PK
—
05
—
350234
—
TX
Enumeration date
04/26/2010
Last updated
10/26/2021
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