Provider Demographics
NPI:1225070758
Name:RX INC
Entity Type:Organization
Organization Name:RX INC
Other - Org Name:LO COST PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER VP
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:912-927-1766
Mailing Address - Street 1:PO BOX 16209
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2909
Mailing Address - Country:US
Mailing Address - Phone:912-352-0375
Mailing Address - Fax:912-356-9609
Practice Address - Street 1:11151 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1829
Practice Address - Country:US
Practice Address - Phone:912-927-1766
Practice Address - Fax:912-927-9024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0066383336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2017229OtherPK
GA000285645AMedicaid
GA000285645AMedicaid