Provider Demographics
NPI:1144038910
Name:INTEGRAL RX PARTNERS LLC
Entity type:Organization
Organization Name:INTEGRAL RX PARTNERS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN-CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:SANDEEP REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:EADULA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:512-806-0335
Mailing Address - Street 1:1880 ROUND ROCK AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4099
Mailing Address - Country:US
Mailing Address - Phone:512-806-0335
Mailing Address - Fax:512-806-0730
Practice Address - Street 1:1880 ROUND ROCK AVE STE 250
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4099
Practice Address - Country:US
Practice Address - Phone:512-806-0335
Practice Address - Fax:512-806-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35694OtherTEXAS STATE BOARD OF PHARMACY