Organization
MEDRX COMPOUNDING & PHARMACY LIMITED COMPANY
Active
Other names
Medrx Compounding & Pharmacy Limited Company
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SARPONG (DIRECTOR/OWNER)
(832) 259-1362
Entity
Organization
Contact information
Practice address
601 WAYSIDE DR STE D, HOUSTON, TX 77011-3614
(832) 767-5466
(832) 582-7792
Mailing address
601 WAYSIDE DR, SUITE D, HOUSTON, TX 77011-3614
(832) 767-5466
(832) 582-7795
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27235
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148209
—
TX
01
—
5901776
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/25/2010
Last updated
10/01/2019
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