Provider Demographics
NPI:1568817666
Name:HR RX LLC
Entity Type:Organization
Organization Name:HR RX LLC
Other - Org Name:H&R PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PIC, AO
Authorized Official - Prefix:
Authorized Official - First Name:HANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BADAWY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-243-4677
Mailing Address - Street 1:870 SAXON BLVD STE 45
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-8209
Mailing Address - Country:US
Mailing Address - Phone:386-218-0926
Mailing Address - Fax:386-218-0927
Practice Address - Street 1:870 SAXON BLVD STE 45
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-8209
Practice Address - Country:US
Practice Address - Phone:386-218-0926
Practice Address - Fax:386-218-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
FLPH300513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2162111OtherPK