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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