Organization
MEDRX SPECIALTY PHARMACY, LLC.
Active
Other names
MedRx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERMAINE CHRISTOPHER ALLEN (MANAGER/OWNER)
(713) 303-3189
Entity
Organization
Contact information
Practice address
4726 E TEXAS ST, SUITE 230, BOSSIER CITY, LA 71111-2545
(855) 825-5014
(855) 848-1141
Mailing address
P.O. BOX 2188, CYPRESS, TX 77410
(713) 303-3189
(855) 848-1141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.6828
LA
Other
Enumeration date
01/31/2014
Last updated
02/08/2017
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