Organization
SCRIPT SOURCE PHARMACY, LLC
Active
Other names
Script Source Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE H SANDERS RPH (SINGLE MEMBER OWNER/PIC)
(713) 340-3122
Entity
Organization
Contact information
Practice address
6516 BROADWAY ST, SUITE 132, PEARLAND, TX 77581
(713) 340-3122
(713) 340-3262
Mailing address
10223 BROADWAY ST, SUITE P429, PEARLAND, TX 77584-7880
(713) 340-3122
(713) 340-3262
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149209
—
TX
Enumeration date
05/15/2009
Last updated
07/28/2021
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