Organization
DERITE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY WILSON (CFO)
(281) 785-8242
Entity
Organization
Contact information
Practice address
6542 GREATWOOD PKWY STE B, SUGAR LAND, TX 77479-6823
(281) 785-8242
(281) 937-7129
Mailing address
8706 CROWN JEWEL DR, RICHMOND, TX 77469-9405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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