Provider Demographics
NPI:1306370556
Name:RX CHOICE II LLC
Entity Type:Organization
Organization Name:RX CHOICE II LLC
Other - Org Name:ECONOMY DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-622-2063
Mailing Address - Street 1:501 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-3249
Mailing Address - Country:US
Mailing Address - Phone:706-622-2063
Mailing Address - Fax:706-622-2752
Practice Address - Street 1:9881 COMMERCE ST STE A
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:GA
Practice Address - Zip Code:30747-1300
Practice Address - Country:US
Practice Address - Phone:706-808-1100
Practice Address - Fax:706-808-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167516OtherPK