Organization
PHARMA SOURCE RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L CANTU (MANAGING OFFICER/OWNER)
(281) 762-2020
Entity
Organization
Contact information
Practice address
19855 SOUTHWEST FWY STE 220, SUGAR LAND, TX 77479-6536
(281) 762-2020
(832) 363-1014
Mailing address
301 S 9TH ST STE 109, RICHMOND, TX 77469-3448
(281) 762-2020
(832) 363-1014
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
03/20/2020
Last updated
01/04/2022
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