Provider Demographics
NPI:1417520479
Name:RAPHARX LLC
Entity Type:Organization
Organization Name:RAPHARX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:FRU
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUNJOH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:303-219-8801
Mailing Address - Street 1:1260 S PARKER RD STE B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-8064
Mailing Address - Country:US
Mailing Address - Phone:303-219-8801
Mailing Address - Fax:303-219-8804
Practice Address - Street 1:1260 S PARKER RD STE B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-8064
Practice Address - Country:US
Practice Address - Phone:303-219-8801
Practice Address - Fax:303-219-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy