Provider Demographics
NPI:1083890081
Name:THE PHYSICIAN'S RX, INC.
Entity Type:Organization
Organization Name:THE PHYSICIAN'S RX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:RONDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-674-2511
Mailing Address - Street 1:27902 MEADOW DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-2106
Mailing Address - Country:US
Mailing Address - Phone:303-674-2511
Mailing Address - Fax:888-719-1726
Practice Address - Street 1:4613 N UNIVERSITY DR
Practice Address - Street 2:#292
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4602
Practice Address - Country:US
Practice Address - Phone:888-719-1725
Practice Address - Fax:888-719-1726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site