Provider Demographics
NPI:1447680210
Name:SONEXUS HEALTH PHARMACY SERVICES
Entity type:Organization
Organization Name:SONEXUS HEALTH PHARMACY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:972-608-7203
Mailing Address - Street 1:2730 EDMONDS LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-6731
Mailing Address - Country:US
Mailing Address - Phone:877-369-6093
Mailing Address - Fax:866-781-4998
Practice Address - Street 1:2730 EDMONDS LN STE 400
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-6731
Practice Address - Country:US
Practice Address - Phone:972-350-9940
Practice Address - Fax:866-781-4998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX287183336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2142939OtherPK