Organization
STAR REX PHARMACY LLC
Active
Organization
STAR REX PHARMACY LLC
Active
Other names
Star Rex Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTLEY GENTRY B.S. (OPERATIONS MANAGER)
(281) 973-8042
Entity
Organization
Contact information
Practice address
11110 EAST FWY, 100B, HOUSTON, TX 77029-1914
(832) 767-0816
(832) 767-0819
Mailing address
9701 N SAM HOUSTON PKWY E, SUITE 110, HUMBLE, TX 77396-4636
(281) 973-8042
(281) 973-8525
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146168
—
TX
01
—
2119649
PK
—
Enumeration date
12/23/2008
Last updated
12/01/2016
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