Provider Demographics
NPI:1215682554
Name:REMINGTON PHARMACY INC.
Entity type:Organization
Organization Name:REMINGTON PHARMACY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:UCHECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:OMESIETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-565-2476
Mailing Address - Street 1:3626 N MACARTHUR BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3643
Mailing Address - Country:US
Mailing Address - Phone:972-457-0194
Mailing Address - Fax:972-457-0197
Practice Address - Street 1:3626 N MACARTHUR BLVD STE 230
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3643
Practice Address - Country:US
Practice Address - Phone:972-457-0194
Practice Address - Fax:972-457-0197
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REMINGTON PHARMACY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-15
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34146OtherTEXAS STATE BOARD OF PHARMACY LICENSE NUMBER