Organization
REVIVE RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MICHAEL SCHNEIDER (OWNER)
(888) 689-2271
Entity
Organization
Contact information
Practice address
3831 GOLF DR STE A, HOUSTON, TX 77018-5218
(888) 689-2271
(888) 689-1620
Mailing address
3831 GOLF DR STE A, HOUSTON, TX 77018-5218
(888) 689-2271
(888) 689-1620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
OSP.0006854
CO
3336C0003X
Community/Retail Pharmacy
30363
FL
3336C0004X
Compounding Pharmacy
Y006974
AZ
3336M0002X
Mail Order Pharmacy
2016042826
MO
3336S0011X
Specialty Pharmacy
Primary
30984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168005
PK
—
Enumeration date
10/17/2016
Last updated
10/04/2022
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