Provider Demographics
NPI:1073255584
Name:5RX THERAPEUTICS LLC
Entity Type:Organization
Organization Name:5RX THERAPEUTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVON
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:305-600-8815
Mailing Address - Street 1:3209 S COBB DR SE STE F1
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4160
Mailing Address - Country:US
Mailing Address - Phone:678-239-4568
Mailing Address - Fax:678-239-4625
Practice Address - Street 1:3209 S COBB DR SE STE F1
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4160
Practice Address - Country:US
Practice Address - Phone:678-239-4568
Practice Address - Fax:678-239-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy