Provider Demographics
NPI:1205035011
Name:COVERMYMEDS PHARMACY LLC
Entity Type:Organization
Organization Name:COVERMYMEDS PHARMACY LLC
Other - Org Name:RXC ACQUISITION COMPANY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP & TREASURER; MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:CHILDRESS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:901-340-5999
Mailing Address - Street 1:7343 S. HARDY DRIVE, STE. 102A
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-4480
Mailing Address - Country:US
Mailing Address - Phone:480-663-4086
Mailing Address - Fax:480-663-4991
Practice Address - Street 1:7343 S. HARDY DRIVE, STE. 102A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-4480
Practice Address - Country:US
Practice Address - Phone:480-663-4086
Practice Address - Fax:480-663-4991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Yes333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYAZ2650OtherKENTUCKY BOARD OF PHARMACY
AZY008124OtherARIZONA STATE BOARD OF PHARMACY