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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