Organization
ASTRO RX, LLC
Active
Organization
ASTRO RX, LLC
Active
Other names
Astro Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACY COPLEN (COMPLIANCE OFFICER)
(850) 502-2449
Entity
Organization
Contact information
Practice address
20423 KUYKENDAHL RD, SUITE 250, SPRING, TX 77379-3322
(832) 209-4999
(832) 559-7213
Mailing address
20423 KUYKENDAHL RD, SUITE 250, SPRING, TX 77379-3322
(832) 209-4999
(832) 559-7213
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31022
TX
3336C0004X
Compounding Pharmacy
31022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31022
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
10/03/2013
Last updated
10/12/2016
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