Provider Demographics
NPI:1770125379
Name:CLRX INC
Entity type:Organization
Organization Name:CLRX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-720-9540
Mailing Address - Street 1:433 LAS COLINAS BLVD E STE 1075
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5581
Mailing Address - Country:US
Mailing Address - Phone:817-720-9540
Mailing Address - Fax:817-720-9930
Practice Address - Street 1:433 LAS COLINAS BLVD E STE 1075
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5581
Practice Address - Country:US
Practice Address - Phone:817-720-9540
Practice Address - Fax:817-720-9930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy