Provider Demographics
NPI:1972153914
Name:COMPLETE SOLUTIONS RX LLC
Entity type:Organization
Organization Name:COMPLETE SOLUTIONS RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVELEO
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-300-6626
Mailing Address - Street 1:1029 HIGHWAY 6 N STE 650
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1006
Mailing Address - Country:US
Mailing Address - Phone:210-530-1184
Mailing Address - Fax:210-530-1186
Practice Address - Street 1:145 LANARK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1821
Practice Address - Country:US
Practice Address - Phone:210-530-1184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPLETE SOLUTION RX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy