Provider Demographics
NPI:1235765538
Name:VIRX LLC
Entity Type:Organization
Organization Name:VIRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROMANACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-303-5645
Mailing Address - Street 1:3000 GOLDEN ROCK SHOPPING CENTER SUITE 1
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4311
Mailing Address - Country:US
Mailing Address - Phone:340-718-7666
Mailing Address - Fax:340-718-4811
Practice Address - Street 1:6040 CASTLE COAKLEY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4311
Practice Address - Country:US
Practice Address - Phone:340-718-7666
Practice Address - Fax:340-718-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy