Provider Demographics
NPI:1346711611
Name:RX FOR LESS LLC
Entity Type:Organization
Organization Name:RX FOR LESS LLC
Other - Org Name:RX FOR LESS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALSOURI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:765-631-1101
Mailing Address - Street 1:10930 PENDLETON PIKE STE 102
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-3177
Mailing Address - Country:US
Mailing Address - Phone:317-723-3614
Mailing Address - Fax:317-855-7951
Practice Address - Street 1:10930 PENDLETON PIKE STE 102
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-3177
Practice Address - Country:US
Practice Address - Phone:317-723-3614
Practice Address - Fax:317-855-7951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300023345Medicaid