Provider Demographics
NPI:1841932324
Name:COMPLETE RPH RX SERVICES LLC
Entity type:Organization
Organization Name:COMPLETE RPH RX SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHARMACIST-IN-CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:DETRA
Authorized Official - Middle Name:HUBERT
Authorized Official - Last Name:BOYKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-227-1010
Mailing Address - Street 1:5627 ALDINE BENDER RD STE 7
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032-4534
Mailing Address - Country:US
Mailing Address - Phone:281-227-1010
Mailing Address - Fax:281-227-1015
Practice Address - Street 1:5627 ALDINE BENDER RD STE 7
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-4534
Practice Address - Country:US
Practice Address - Phone:281-227-1010
Practice Address - Fax:281-227-1015
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLATINUM RX NORTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy