Provider Demographics
NPI:1053085464
Name:RR MEDCO LLC
Entity Type:Organization
Organization Name:RR MEDCO LLC
Other - Org Name:RR MEDCO LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJU
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-789-1123
Mailing Address - Street 1:1600 PROVIDENCE HWY STE 285
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2553
Mailing Address - Country:US
Mailing Address - Phone:888-417-4942
Mailing Address - Fax:
Practice Address - Street 1:1600 PROVIDENCE HWY STE 285
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2553
Practice Address - Country:US
Practice Address - Phone:781-789-1123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies