Pharma Source Rx Inc

LBN: Pharma Source Rx Inc
Pharma Source Rx Inc is an health care organization with primary practice located at 19855 Southwest Fwy. Ste. 220, Sugar Land TX 77479. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pharma Source Rx Inc can be contacted via phone (281) 762-2020, or through Cantu, Laura via phone (281) 762-2020.

Contact Information

Primary practice address
19855 Southwest Fwy. Ste. 220 Sugar Land TX 77479
Phone: (281) 762-2020
Fax: (832) 363-1014
Website:
Map and Directions
Authorized official contact:
Name: Cantu, Laura
Phone: (281) 762-2020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1700483112
LBN Legal business name Pharma Source Rx Inc
DBA Doing business as
Authorized official Cantu, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2020
Last updated Feb 2nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700483112 NPPES
Texas MEDICAID 150346
Texas Other 32071001211

Popular Providers