Provider Demographics
NPI:1174375737
Name:PRORX SOLUTIONS PHARMACY
Entity type:Organization
Organization Name:PRORX SOLUTIONS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARKELA
Authorized Official - Middle Name:JERAU
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-947-4895
Mailing Address - Street 1:3219 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5537
Mailing Address - Country:US
Mailing Address - Phone:832-947-4895
Mailing Address - Fax:
Practice Address - Street 1:3219 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5537
Practice Address - Country:US
Practice Address - Phone:832-947-4895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy