Provider Demographics
NPI:1376695510
Name:RXD HEALTHCARE
Entity Type:Organization
Organization Name:RXD HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:215-927-6700
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:724 HADDON
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-0428
Mailing Address - Country:US
Mailing Address - Phone:856-858-9292
Mailing Address - Fax:856-858-7286
Practice Address - Street 1:1335 W TABOR RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3038
Practice Address - Country:US
Practice Address - Phone:215-927-7935
Practice Address - Fax:215-924-0960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RXD HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4813283336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012123870001Medicaid
PAPP481328OtherPA LICENSE #
PA3983687OtherNABP
PA3983687OtherNABP
PA1012123870001Medicaid