Provider Demographics
NPI:1225498991
Name:SAVRX PHARMACY, INC
Entity Type:Organization
Organization Name:SAVRX PHARMACY, INC
Other - Org Name:SMART RX PHARMACY TX1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-617-6059
Mailing Address - Street 1:6100 S. BROADWAY AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703
Mailing Address - Country:US
Mailing Address - Phone:903-630-8797
Mailing Address - Fax:903-848-2055
Practice Address - Street 1:6100 S. BROADWAY AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703
Practice Address - Country:US
Practice Address - Phone:903-630-8797
Practice Address - Fax:903-848-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX306203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy