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Organization

SSRX LLC

Active
Other names
SSRX Pharmacy 1
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 D, 7TH FLOOR, BELLAIRE, TX 77401-2928
(713) 660-8888
(713) 661-4828
Mailing address
6330 WEST LOOP SOUTH, SUITE 700 D, 7TH FLOOR, BELLAIRE, TX 77401-2928
(832) 553-1385
(713) 661-4828

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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