Provider Demographics
NPI:1467086066
Name:RXPROSTAFF, INC.
Entity Type:Organization
Organization Name:RXPROSTAFF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:IDREES
Authorized Official - Last Name:USMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:817-938-1064
Mailing Address - Street 1:4106 COACHMAN LN
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-3758
Mailing Address - Country:US
Mailing Address - Phone:817-938-1064
Mailing Address - Fax:
Practice Address - Street 1:2600 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1114
Practice Address - Country:US
Practice Address - Phone:469-297-5364
Practice Address - Fax:972-332-3669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy