Organization
HUMBLE RX LLC
Active
Other names
PORTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MEEKS PHARMD (OWNER/PHARMACIST)
(903) 586-9804
Entity
Organization
Contact information
Practice address
308 W LARISSA ST, JACKSONVILLE, TX 75766
(903) 586-9804
(903) 586-2281
Mailing address
308 W LARISSA ST, JACKSONVILLE, TX 75766
(903) 586-9804
(903) 586-2281
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149915
—
TX
01
—
2097950
PK
—
01
—
32220
TSBP
TX
01
—
4524282
NCPDP
—
Enumeration date
08/18/2006
Last updated
09/27/2024
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