Provider Demographics
NPI:1154645497
Name:RNA HOLDINGS LLC
Entity Type:Organization
Organization Name:RNA HOLDINGS LLC
Other - Org Name:FIVE STAR PHARMACY SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-679-3537
Mailing Address - Street 1:14800 LANDMARK BLVD STE 250
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7085
Mailing Address - Country:US
Mailing Address - Phone:214-237-4510
Mailing Address - Fax:214-303-1899
Practice Address - Street 1:14800 LANDMARK BLVD STE 250
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7085
Practice Address - Country:US
Practice Address - Phone:214-237-4510
Practice Address - Fax:214-303-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336L0003X
TX266713336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4555100OtherNCPDP PROVIDER IDENTIFICATION NUMBER