Provider Demographics
NPI:1538144373
Name:US-RX-DIRECT, LLC
Entity Type:Organization
Organization Name:US-RX-DIRECT, LLC
Other - Org Name:US-RX-DIRECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:W
Authorized Official - Last Name:PURYEAR
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:940-550-5020
Mailing Address - Street 1:2103 HIGHWAY 16 S
Mailing Address - Street 2:P O BOX 1109
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-4638
Mailing Address - Country:US
Mailing Address - Phone:940-549-0880
Mailing Address - Fax:866-549-0392
Practice Address - Street 1:2103 HIGHWAY 16 S
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-4638
Practice Address - Country:US
Practice Address - Phone:940-549-0880
Practice Address - Fax:866-549-0392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24206333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy