Organization
SSRX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GARY FETCENKO (COO)
(713) 660-8888
Entity
Organization
Contact information
Practice address
6330 WEST LOOP SOUTH, SUITE 700 C, BELLAIRE, TX 77401-2928
(832) 553-1385
(713) 661-4828
Mailing address
6330 WEST LOOP SOUTH, SUITE 700, 7TH FLOOR, BELLAIRE, TX 77401-2928
(832) 553-1385
(713) 661-4828
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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