STERLINGRX INC

Provider Demographics

• NPI: 1225548480
• Name: STERLINGRX INC
• Entity Type: Organization
• Organization Name: STERLINGRX INC
• Other - Org Name: STERLING SPECIALTY PHARMACY
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: DIRECTOR OF PHARMACY
• Authorized Official - First Name: JOHN
• Authorized Official - Middle Name: MICHAEL
• Authorized Official - Last Name: SELLNER
• Authorized Official - Phone: 612-840-3720
• Mailing Address - Street 1: 1312 NORTHLAND DR
• Mailing Address - Street 2: SUITE 500
• Mailing Address - City: MENDOTA HEIGHTS
• Mailing Address - State: MN
• Mailing Address - Zip Code: 55120-1140
• Mailing Address - Country: US
• Mailing Address - Phone: 888-618-4126
• Mailing Address - Fax: 866-588-0371
• Practice Address - Street 1: 1312 NORTHLAND DR
• Practice Address - Street 2: SUITE 500
• Practice Address - City: MENDOTA HEIGHTS
• Practice Address - State: MN
• Practice Address - Zip Code: 55120-1140
• Practice Address - Country: US
• Practice Address - Phone: 888-618-4126
• Practice Address - Fax: 866-588-0371
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2017-10-02
• Last Update Date: 2021-04-19

Provider Licenses

State	License ID	Taxonomies
SD	400-1782	3336C0003X
NY	036543	3336C0003X
ND	PHAR1471	3336C0003X
MN	265419	3336C0003X
AZ	Y007446	3336C0003X
NH	NR1584	3336C0003X
NE	1169	3336C0003X
WA	PHNR.FO.60839575	3336C0003X
OH	022884200	3336C0003X
NM	PH00004634	3336C0003X
ID	48036MS	3336C0003X
IA	4912	3336C0003X
IN	64002523A	3336C0003X
IL	054.020835	3336C0003X
MO	2018016399	3336C0003X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336C0003X	Suppliers	Pharmacy	Community/Retail Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MN	1225548480	Medicaid
WI	1225548480	Medicaid
IA	1225548480	Medicaid
	2171888	Other	PK
NE	10026690200	Medicaid