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Larenda Inc

Larenda Inc is a health care provider in Rusk, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 156 W 5th St, Rusk, TX 75785-1218, US
Practice Location Phone903-683-5436
Practice Location Fax903-683-2689
Legal Business NameLARENDA INC
Other Organization NamePRESCRIPTION PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1447320734
Entity TypeOrganization
Enumeration Date ? Nov 8, 2006
Last Update Date ? Jun 1, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Larenda Inc

SpecialtySpecializationLicenseLicense State
Pharmacy 14417Texas

legacy-id-icon Legacy Provider IDs of Larenda Inc

Provider IdIssuer StateIssuer TypeIssuer
143691TexasMedicaid

official-icon Authorized Official of Larenda Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Larenda Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Larry Madison Mozingo (RPH)
Authorized Official Title/PositionPRESIDENT , PHARMACIST IN CHARGE
Authorized Official Phone Number903-683-5436