Provider Demographics
NPI:1003584020
Name:LITON RX, INC.
Entity Type:Organization
Organization Name:LITON RX, INC.
Other - Org Name:LITON RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WHALEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-855-7706
Mailing Address - Street 1:14973 W BELL RD STE 150
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-3637
Mailing Address - Country:US
Mailing Address - Phone:623-440-7955
Mailing Address - Fax:
Practice Address - Street 1:14973 W BELL RD STE 150
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3637
Practice Address - Country:US
Practice Address - Phone:623-440-7955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy