Provider Demographics
NPI:1285053579
Name:INDUS RX, LLC
Entity type:Organization
Organization Name:INDUS RX, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIRBALA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-766-3519
Mailing Address - Street 1:16938 DUSTY MILL DR E
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4832
Mailing Address - Country:US
Mailing Address - Phone:832-766-3519
Mailing Address - Fax:
Practice Address - Street 1:11035 RESOURCE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6071
Practice Address - Country:US
Practice Address - Phone:281-481-0398
Practice Address - Fax:281-481-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy