Provider Demographics
NPI:1790669547
Name:CENTRIC RX
Entity type:Organization
Organization Name:CENTRIC RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:TENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-722-2822
Mailing Address - Street 1:909 GRAHAM DR STE D
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3335
Mailing Address - Country:US
Mailing Address - Phone:832-722-2822
Mailing Address - Fax:
Practice Address - Street 1:909 GRAHAM DR STE D
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3335
Practice Address - Country:US
Practice Address - Phone:832-722-2822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy