Provider Demographics
NPI:1083285225
Name:ALPHA RX LLC
Entity Type:Organization
Organization Name:ALPHA RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEYEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:817-538-5251
Mailing Address - Street 1:1012 N DAVIS DR # 1014
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3240
Mailing Address - Country:US
Mailing Address - Phone:817-538-5251
Mailing Address - Fax:817-538-5252
Practice Address - Street 1:1012 N DAVIS DR # 1014
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3240
Practice Address - Country:US
Practice Address - Phone:817-538-5251
Practice Address - Fax:817-538-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy