Organization
PRO MED RX LLC
Active
Organization
PRO MED RX LLC
Active
Other names
PRO MED RX
Organization subpart
No
Provider details
NPI number
Authorized official
STASHA SCRUGGS (DIRECTOR)
(281) 313-0730
Entity
Organization
Contact information
Practice address
13134 DAIRY ASHFORD RD STE 900, SUGAR LAND, TX 77478-3766
(281) 313-0730
Mailing address
13134 DAIRY ASHFORD RD STE 900, SUGAR LAND, TX 77478-3766
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27166
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
04/15/2019
Last updated
04/15/2019
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