Provider Demographics
NPI:1003177460
Name:ONE/WORLDRX,INC.
Entity Type:Organization
Organization Name:ONE/WORLDRX,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.PH.
Authorized Official - Prefix:
Authorized Official - First Name:SORIYA
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:SOK
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:978-328-4636
Mailing Address - Street 1:138 HIGHLAND AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-3600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:138 HIGHLAND AVE STE 5
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-3600
Practice Address - Country:US
Practice Address - Phone:978-328-4636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH24930261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service