Provider Demographics
NPI:1376208660
Name:POSTICHE RX LLC
Entity Type:Organization
Organization Name:POSTICHE RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRANIAL PROSTHETIC SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ERRICA
Authorized Official - Middle Name:RASHEETIA CAMICHE
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:NPI HIPAA
Authorized Official - Phone:415-623-6446
Mailing Address - Street 1:2163 MEEKER AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-6410
Mailing Address - Country:US
Mailing Address - Phone:415-623-6446
Mailing Address - Fax:415-785-6961
Practice Address - Street 1:3813 MACDONALD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-2228
Practice Address - Country:US
Practice Address - Phone:415-623-6446
Practice Address - Fax:415-785-6961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier