Surge Rx

LBN: Surge Rx, Llc
Surge Rx is an health care organization with primary practice located at 4320 Broadway St Ste 110 , Pearland TX 77581-4016. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Surge Rx, Llc can be contacted via phone (281) 741-1266, or through Williams, Jared via phone (281) 741-1266.

Contact Information

Primary practice address
4320 Broadway St Ste 110 Pearland TX 77581-4016
Fax: (281) 741-3151
Website:
Authorized official contact:
Name: Williams, Jared

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1093330482
LBN Legal business name Surge Rx, Llc
DBA Doing business as Surge Rx
Authorized official Williams, Jared
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2020
Last updated Oct 19th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093330482 NPPES
Texas MEDICAID 150289

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