Provider Demographics
NPI:1114428281
Name:SAFERX LLC
Entity Type:Organization
Organization Name:SAFERX LLC
Other - Org Name:MED RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:ANUP
Authorized Official - Middle Name:KURIAN
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-761-1970
Mailing Address - Street 1:4321 N BELT LINE RD STE 500B
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8247
Mailing Address - Country:US
Mailing Address - Phone:972-761-1970
Mailing Address - Fax:972-863-3367
Practice Address - Street 1:4321 N BELT LINE RD STE 500B
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-8247
Practice Address - Country:US
Practice Address - Phone:972-761-1970
Practice Address - Fax:972-863-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150096Medicaid